MINNESOTA TEEN CHALLENGE NPI 1336658277

NPI Information

MINNESOTA TEEN CHALLENGE is a substance abuse rehabilitation facility in Rochester, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MINNESOTA TEEN CHALLENGE NPI is 1336658277. The provider is registered as an organization entity type.
The provider Is Doing Business As Minnesota Adult & Teen Challenge.

The provider's business location address is:

1542 ASSISI DRIVE NW
ROCHESTER, MN
ZIP 55901
Phone: (612) 373-3366
Fax: (612) 333-4111

The provider's authorized official is Debra Rae Warner .
The authorized official title is Billing Manager and has the following contact phone number (612) 238-6528.

The enumeration date for this NPI number is 9/22/2017 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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