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Fdl Adolescent Outpatient Tx — NPI 1447606959, Cloquet, MN | NPI Central

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NPI 1447606959

OrganizationActive

Fdl Adolescent Outpatient Tx

NPI 1447606959 · Adolescent and Children Mental Health Clinic/Center · Cloquet, MN

Provider details

NPI number: 1447606959
Entity type: Organization
Primary specialty: Adolescent and Children Mental Health 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

Specialties & taxonomies

Adolescent and Children Mental Health Clinic/CenterPrimary261QM0855X
Ambulatory Health Care Facilities

Practice location

927 Trettel Ln

Cloquet, MN 55720-1345

Phone: (218) 879-1227

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

927 Trettel Ln

Cloquet, MN 55720-1345

Other names (DBA / former)

Former legal business name: Fond Du Lac Reservation Business Committee

Registry dates

Enumerated: 2016-05-13
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.