NPI 1235514118

Minnesota Teen Challenge, INC.

Organisation Substance Abuse Rehabilitation Facility Buffalo, MN

Practice location

Address: 100 Garrison Ave NE, Buffalo, MN 55313
Phone: (612) 373-3366
Fax: (612) 333-4111
Mailing address: 740 E 24th St, Minneapolis, MN 55404

Authorised official

Name: Debra Warner
Title: Billing Manager
Phone: (612) 238-6528

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Minnesota →

Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Minnesota →

Registry record

NPI: 1235514118
Entity type: Organization
NPI issued: 21 Jul 2015
Record last updated: 14 Mar 2022

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.