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MINNESOTA ADULT AND TEEN CHALLENGE- LIFE RENEWAL
NPI 1649636689
Substance Abuse Rehabilitation Facility in Brainerd, MN

Active since January 06, 2016
313 LAUREL ST, BRAINERD, MN 56401(218) 833-8758(218) 828-6932 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minnesota Adult And Teen Challenge- Life Renewal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA ADULT AND TEEN CHALLENGE- LIFE RENEWAL (NPI 1649636689) is a healthcare organization registered as a substance abuse rehabilitation facility in Brainerd, Minnesota and active in the NPI registry since January 2016. The organization lists James Vincent Lange, Treatment Director, as its authorized official.

NPPES Registry Identity

NPI1649636689
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMINNESOTA TEEN CHALLNGE, INC.
Location Address313 LAUREL STBrainerd, MN 56401-3522
Mailing Address1619 Portland AveMinneapolis, MN 55404-1507 · (218) 833-8777 · Fax (218) 828-6932
Phone(218) 833-8758
Fax(218) 828-6932
Organization SubpartNo
Authorized OfficialJames Vincent LangeTreatment Director · (218) 833-8758
Enumeration DateJanuary 6, 2016
✔ NPI 1649636689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MN · 1078601-1-CDT
Definition
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.
313 LAUREL ST, Brainerd, MN 56401
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Other Names 1

Doing Business AsMinnesota Adult And Teen Challenge- Life Renewal

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota Teen Challnge, Inc.'s NPI number?

The NPI number for Minnesota Teen Challnge, Inc. is 1649636689. It was assigned to this organization in the NPPES registry on January 6, 2016. The provider is doing business as Minnesota Adult And Teen Challenge- Life Renewal.

Where is Minnesota Teen Challnge, Inc. located?

Minnesota Teen Challnge, Inc. is located at 313 Laurel St, Brainerd, MN 56401. The listed phone number is (218) 833-8758.

What is Minnesota Teen Challnge, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Minnesota Teen Challnge, Inc. was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.