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MINNESOTA TEEN CHALLENGE INC. NPI 1538325980


NPI Information

NPI: 1538325980
Provider Name: MINNESOTA TEEN CHALLENGE, INC.

Doing Business As: MINNESOTA TEEN CHALLENGE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 24D1102677

Address:
2 E 2ND ST
DULUTH, MN
ZIP 55802
Phone: (612) 373-3366
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MINNESOTA TEEN CHALLENGE, INC. is a substance abuse rehabilitation facility in Duluth, 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, INC. NPI is 1538325980. The provider is registered as an organization entity type.
The provider Is Doing Business As Minnesota Teen Challenge.

The provider's business location address is:

2 E 2ND ST
DULUTH, MN
ZIP 55802-013
Phone: (612) 373-3366

The provider's authorized official is Sadie Twite .
The authorized official title is Billing Manager and has the following contact phone number (612) 238-6540.

The CLIA number assigned to this NPI record is 24D1102677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 1/7/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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