NPI | 1831574797 |
---|---|
Doing Business As | MINNESOTA ADULT & TEEN CHALLENGE |
Entity Type | Organization |
Authorized Contact | SADIE TWITE Revenue Cycle Director 612-373-3366 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
251S00000X | |
261Q00000X Clinic/Center | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2015-07-21 |
Last Update Date | 2023-03-02 |