Minnesota Teen Challenge, INC
Substance Abuse Rehabilitation Facility in Buffalo, MN. Organization (NPI-2).
NPI number1003662420
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1003662420
- Entity type
- Organization (NPI-2)
- Legal business name
- Minnesota Teen Challenge, INC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2024
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Rockbridge Treatment And Recovery (Doing Business As)
Practice location
8150 20th St SeBuffalo, MN 55313-4640
Phone 612-373-3366
Mailing address
740 E 24th StMinneapolis, MN 55404-3862
Authorized official
Stephanie Beaulieu
Contract Representative
7632575301
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