MINNESOTA TEEN CHALLENGE, INC. (NPI# 1932278538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932278538 |
| Entity Type | Organization |
| Organization Name | MINNESOTA TEEN CHALLENGE, INC. |
| Other Organization Name | MINNESOTA TEEN CHALLENGE |
| Practice Address |
1717 2nd Ave S Minneapolis MN 55403 |
| Mailing Address |
740 E 24th St Minneapolis MN 55404 |
| Practice Telephone | 6123733366 |
| Practice Fax Number | 6123334111 |
| Mailing Telephone | 6123733366 |
| Mailing Fax Number | 6123334111 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | DEBRA WARNER (BILLING MANAGER) |
| Authorized Official Telephone | 6122386528 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 10090493CDT | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Minnesota Teen Challenge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831574797 | Minnesota Teen Challenge, Inc. | Counselor | 740 E 24th St, Minneapolis, MN 55404 | 2015-07-21 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1538325980 | Minnesota Teen Challenge, Inc. | Substance Abuse Rehabilitation Facility | 1 East 1st Street, Duluth, MN 55802 | 2008-08-05 |
| 1194802710 | Minnesota Teen Challenge, Inc. | Substance Abuse Rehabilitation Facility | 3231 1st Ave S, Minneapolis, MN 55408-4407 | 2006-11-01 |
| 1154977056 | Minnesota Teen Challenge, Inc. | Substance Abuse Rehabilitation Facility | 2756 Douglas Dr N, Crystal, MN 55422-2402 | 2019-08-15 |
| 1285057539 | Minnesota Teen Challenge, Inc. | Counselor | 1530 Assisi Dr Nw, Rochester, MN 55901 | 2014-01-22 |
| Street Address |
1717 2ND AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548674799 | Renee Monique Imes | Counselor | 1717 2nd Ave S, Minneapolis, MN 55403 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312174 | Afya Translation Corp | Interpreter | 1 E 19th Street, Suite 2, Minneapolis, MN 55403 | 2016-09-01 |
| 1891146692 | Alicia Kornacker | Doula | 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 | 2016-06-23 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1063871259 | Vicky Smiley-turner | Counselor | 1523 Nicollet Ave. South, Minneapolis, MN 55403 | 2016-02-16 |
| 1326449026 | Lowry Hill Psychotherapy and Assessment Center | Psychologist | 1910 Hennepin Ave S, Minneapolis, MN 55403 | 2014-09-12 |
| 1285062372 | Cheryl Patterson | Marriage & Family Therapist | 1725 2nd Ave So, Minneapolis, MN 55403 | 2013-10-29 |
| 1598101156 | Sherri M Dunham | Counselor | 1200 S Marquette Ave, Minneapolis, MN 55403 | 2013-05-21 |
| 1831533173 | Laura Farley Young | Social Worker | 1925 Nicollet Ave S, Minneapolis, MN 55403 | 2013-04-17 |
| 1275801797 | Elizabeth Ann Hamer | Counselor | 1717/1725 2nd Ave. So., Minneapolis, MN 55403 | 2011-12-12 |
| 1679859185 | Accord Medical Inc | Durable Medical Equipment & Medical Supplies | 1815 Nicollet Ave, Minneapolis, MN 55403 | 2011-10-27 |
| Find all providers in zip 55403 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366913287 | Guided Pathway | Substance Abuse Rehabilitation Facility | 2119 Elliot Ave, Minneapolis, MN 55404-2971 | 2018-12-17 |
| 1407322217 | Mabs Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5941 Washburn Ave S, Minneapolis, MN 55410-2848 | 2018-10-18 |
| 1063883411 | Life Refine Company, Inc. | Substance Abuse Rehabilitation Facility | 6901 78th Ave N Ste 106, Minneapolis, MN 55445-2720 | 2015-10-12 |
| 1336432087 | South East Homes Inc | Substance Abuse Rehabilitation Facility | 2732 Bloomington Ave, Minneapolis, MN 55407-1146 | 2011-05-26 |
| 1023314440 | Centre for African Immigrants Recovering From Drug and Alcohol Addicti | Substance Abuse Rehabilitation Facility | 5201 Bryant Ave N, Minneapolis, MN 55430-3588 | 2011-02-02 |
| 1932413887 | The Wayside House, Inc. | Substance Abuse Rehabilitation Facility | 2120 Clinton Ave S, Minneapolis, MN 55404 | 2010-08-03 |
| 1982831533 | Specialized Treatment Services, Inc. | Substance Abuse Rehabilitation Facility | 1132 Central Ave. Ne, Minneapolis, MN 55413-1512 | 2009-06-22 |
| 1548433840 | Victory Through Faith Recovery Services | Substance Abuse Rehabilitation Facility | 3047 5th Ave S, Minneapolis, MN 55408-2415 | 2008-04-08 |
| 1629296900 | Turning Point Incorporated | Substance Abuse Rehabilitation Facility | 1500 Golden Valley Road, Minneapolis, MN 55411 | 2007-04-23 |
| 1104950591 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 2800 University Ave Se, Suite 202, Minneapolis, MN 55414 | 2007-03-15 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.