NPI 1003662420
Minnesota Teen Challenge, INC
Practice location
- Address
- 8150 20th St SE, Buffalo, MN 55313-4640
- Phone
- (612) 373-3366
- Mailing address
- 740 E 24th St, Minneapolis, MN 55404-3862
Authorised official
- Name
- Stephanie Beaulieu
- Title
- Contract Representative
- Phone
- (763) 257-5301
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1003662420
- Entity type
- Organization
- NPI issued
- 26 Apr 2024
- Record last updated
- 26 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.