Minnesota Adult & Teen Challenge

LBN: Minnesota Teen Challenge, Inc.
Minnesota Adult & Teen Challenge is an health care organization with primary practice located at 1530 Assisi Dr Nw , Rochester MN 55901. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Managed Care Organizations / Exclusive Provider Organization, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Minnesota Teen Challenge, Inc. can be contacted via phone (507) 288-3733, or through Mahoney, Michael William via phone (507) 218-3450.

Contact Information

Primary practice address
1530 Assisi Dr Nw Rochester MN 55901
Phone: (507) 288-3733
Fax: (855) 288-8560
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Michael William LADC, NCAC1
Phone: (507) 218-3450

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1285057539
LBN Legal business name Minnesota Teen Challenge, Inc.
DBA Doing business as Minnesota Adult & Teen Challenge
Authorized official Mahoney, Michael William LADC, NCAC1
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2014
Last updated Mar 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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