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Fdl Adolescent Outpatient Tx
Adolescent and Children Mental Health Clinic/Center in Cloquet, Minnesota
NPI 1447606959

Fdl Adolescent Outpatient Tx is an Adolescent and Children Mental Health Clinic/Center based in Cloquet, MN and is specialized in Adolescent and Children Mental Health. Fdl Adolescent Outpatient Tx practices in Cloquet, MN. The NPI Number for Fdl Adolescent Outpatient Tx is 1447606959 and holds a License No. (Minnesota).

The current practice location address for Fdl Adolescent Outpatient Tx 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447606959
Provider Name
Fdl Adolescent Outpatient Tx
Credential
Provider Entity Type
Organization
Address
927 Trettel Ln, Cloquet, MN, 55720-1345
Phone Number
218-879-1227
Fax Number
Provider Enumeration Date
05/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
666815101 05 MN
666815100 05 MN
8F27F0 01 MN BCBS AODA
institution
Provider Business Practice Location Address Details
Address
927 Trettel Ln
City
Cloquet
State
Minnesota
Zip
55720-1345
Phone Number
218-879-1227
Fax Number
person
Provider Business Mailing Address Details
Address
927 Trettel Ln
City
Cloquet
State
Minnesota
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
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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