Organization · Type 2 NPI

Fond Du Lac Reservation Business Committee

Mental Health Clinic/Center (Including Community Mental Health Center) · Cloquet, MN

NPI number 1053772087 Active

Practice location

927 Trettel Ln
Cloquet, MN 55720-1345

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1053772087

Fond Du Lac Reservation Business Committee's National Provider Identifier is 1053772087, issued on Mar 18, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Cloquet, MN. The record was last updated on Jun 23, 2020.