institution
Fond Du Lac Reservation Business Committee
Substance Use Disorder Rehabilitation Clinic/Center in Cloquet, Minnesota
NPI 1225335862

Fond Du Lac Reservation Business Committee is a Substance Use Disorder Rehabilitation Clinic/Center based in Cloquet, MN and is specialized in Rehabilitation, Substance Use Disorder. Fond Du Lac Reservation Business Committee practices in Cloquet, MN. The NPI Number for Fond Du Lac Reservation Business Committee is 1225335862 and holds a License No. 012010 (Minnesota).

The current practice location address for Fond Du Lac Reservation Business Committee is 927 Trettel Lane, Cloquet, MN and can be reached out via phone at 218-879-1227 and via fax at 218-878-3755.

Location: 927 Trettel Lane, Cloquet, MN, 55720
institution
Provider Profile Details
NPI Number
1225335862
Provider Name
Fond Du Lac Reservation Business Committee
Credential
Provider Entity Type
Organization
Address
927 Trettel Lane, Cloquet, MN, 55720
Phone Number
218-879-1227
Fax Number
218-878-3755
Provider Enumeration Date
02/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326053166 05 MN
institution
Provider Business Practice Location Address Details
Address
927 Trettel Lane
City
State
Zip
55720
Phone Number
218-879-1227
Fax Number
218-878-3755
person
Provider Business Mailing Address Details
Address
927 Trettel Lane
City
State
Zip
55720
Phone Number
218-879-1227
Fax Number
218-878-3755
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
012010 (Minnesota)
Definition
Definition to come...
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