| NPI | 1932278538 |
|---|---|
| Other Name | MINNESOTA TEEN CHALLENGE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BEAULIEU Billing Manager 763-257-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 10090493CDT) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-03-15 |