MN ADULT & TEEN CHALLENGE, INC. – NPI #1235514118
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

MN ADULT & TEEN CHALLENGE, INC. is a substance abuse rehabilitation facility located in BUFFALO, MN. NPPES has assigned the NPI number 1235514118 to MN ADULT & TEEN CHALLENGE, INC. on July 21, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MN ADULT & TEEN CHALLENGE, INC.” is a dba name, the actual legal business name for this organization is MINNESOTA TEEN CHALLENGE, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Mar 14, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MN ADULT & TEEN CHALLENGE, INC. below.

NPI Profile for
MINNESOTA TEEN CHALLENGE, INC.

NPI Number
1235514118
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINNESOTA TEEN CHALLENGE, INC.
Doing Business As (dba): MN ADULT & TEEN CHALLENGE, INC.
Primary location
100 GARRISON AVE NE
BUFFALO, MN 55313
Phone: (612) 373-3366 Fax: (612) 333-4111
Mailing address
740 E 24TH ST
MINNEAPOLIS, MN 55404
Phone: (612) 373-3366 Fax: (612) 333-4111
Organization Subpart
No
Authorized Official
DEBRA WARNER
BILLING MANAGER
Phone: (612) 238-6528
Updated
Certification Date
Mar 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
302F00000X
- Exclusive Provider Organization

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.