| NPI | 1649636689 |
|---|---|
| Doing Business As | MINNESOTA ADULT AND TEEN CHALLENGE- LIFE RENEWAL |
| Entity Type | Organization |
| Authorized Contact | JAMES VINCENT LANGE Treatment Director 218-833-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1078601-1-CDT) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |