institution
Fond Du Lac Reservation Business Committee
Mental Health Clinic/Center (Including Community Mental Health Center) in Cloquet, Minnesota
NPI 1053772087

Fond Du Lac Reservation Business Committee is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Cloquet, MN and is specialized in Mental Health (Including Community Mental Health Center). Fond Du Lac Reservation Business Committee practices in Cloquet, MN. The NPI Number for Fond Du Lac Reservation Business Committee is 1053772087 and holds a License No. (Minnesota).

The current practice location address for Fond Du Lac Reservation Business Committee is 927 Trettel Ln, Cloquet, MN and can be reached out via phone at 218-879-1227.

Location: 927 Trettel Ln, Cloquet, MN, 55720-1345
institution
Provider Profile Details
NPI Number
1053772087
Provider Name
Fond Du Lac Reservation Business Committee
Credential
Provider Entity Type
Organization
Address
927 Trettel Ln, Cloquet, MN, 55720-1345
Phone Number
218-879-1227
Fax Number
Provider Enumeration Date
03/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
666815101 05 MN
8F27FO 01 MN BCBS AODA
666815100 05 MN
institution
Provider Business Practice Location Address Details
Address
927 Trettel Ln
City
State
Zip
55720-1345
Phone Number
218-879-1227
Fax Number
person
Provider Business Mailing Address Details
Address
927 Trettel Ln
City
State
Zip
55720-1345
Phone Number
218-879-1227
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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