OrganizationActive
Fond Du Lac Reservation Business Committee
NPI 1225335862 · Substance Use Disorder Rehabilitation Clinic/Center · Cloquet, MN
Provider details
- NPI number
- 1225335862
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fond Du Lac Human Services Division
- Organization subpart
- Yes
- Authorized official
- Marilyn Grover, Associate Director(218) 879-1227
- License
- 012010 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
927 Trettel Lane
Fond Du Lac Human Services Division
Cloquet, MN 55720
Phone: (218) 879-1227
Fax: (218) 878-3755
Street-level locationGet directions
Mailing address
927 Trettel Lane
Cloquet, MN 55720
Other names (DBA / former)
- Doing business as
- Fdl Adult Outpatient Tx
Registry dates
- Enumerated
- 2011-02-17
- Last updated
- 2016-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.