| NPI | 1235514118 |
|---|---|
| Doing Business As | MN ADULT & TEEN CHALLENGE, INC. |
| Entity Type | Organization |
| Authorized Contact | DEBRA WARNER Billing Manager 612-238-6528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2022-03-14 |