NPIMap

Organization Active NPI

Minnesota Teen Challenge, Inc.

Doing business as Rockbridge Treatment and Recovery

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
National Provider Identifier
1194802710
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MINNESOTA TEEN CHALLENGE, INC.
Doing business as
Rockbridge Treatment and Recovery
Practice address
3231 1St Ave S
Minneapolis, MN 55408-4407
Phone
(612) 373-3366
Fax
(612) 333-4111
NPI assigned
Nov 1, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sadie Twite
Title
Billing Manager
Phone
(612) 238-6540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 10056573CDT MN
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3231 1St Ave S
Minneapolis, MN 55408-4407

Mailing address

740 E 24TH St
Minneapolis, MN 55404
Phone (612) 373-3366

Other practice location 1

8150 20th St SE
Buffalo, MN 55313-4640
Phone (844) 815-7625

Other names 2

  • Rockbridge Treatment and Recovery Doing business as
  • Minnesota Teen Challenge Other name

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Teen Challnge Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1194802710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 24TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-373-3366",
            "fax_number": "612-333-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084407",
            "telephone_number": "612-373-3366",
            "fax_number": "612-333-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 20th St SE",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553134640",
            "country_code": "US",
            "telephone_number": "844-815-7625",
            "fax_number": "763-463-9519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINNESOTA TEEN CHALLENGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "TWITE",
        "authorized_official_first_name": "SADIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "612-238-6540"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "10056573CDT",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockbridge Treatment and Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minnesota Teen Challenge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.