Fdl Adolescent Outpatient Tx
NPI 1447606959 · Adolescent and Children Mental Health Clinic/Center · Cloquet, MN
Fdl Adolescent Outpatient Tx is a Adolescent and Children Mental Health Clinic/Center organization in Cloquet, MN (NPI 1447606959).
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
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
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
Frequently asked questions
- What is Fdl Adolescent Outpatient Tx's NPI number?
- Fdl Adolescent Outpatient Tx's National Provider Identifier (NPI) is 1447606959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fdl Adolescent Outpatient Tx?
- Fdl Adolescent Outpatient Tx is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fdl Adolescent Outpatient Tx located?
- Fdl Adolescent Outpatient Tx's practice location on file with NPPES is 927 Trettel Ln, Cloquet, MN 55720-1345.
- What is Fdl Adolescent Outpatient Tx's phone number?
- The practice phone number listed in the NPPES registry for Fdl Adolescent Outpatient Tx is (218) 879-1227.
- Who is the authorized official for Fdl Adolescent Outpatient Tx?
- The authorized official listed on Fdl Adolescent Outpatient Tx's NPPES record is Marilyn Grover, Associate Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fdl Adolescent Outpatient Tx's NPI active?
- Yes — Fdl Adolescent Outpatient Tx's NPI (1447606959) is active in the NPPES registry as of the last update on 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.