Fond Du Lac Reservation Business Committee

NPI #1053772087 in Cloquet, Minnesota

Provider Information

NPI Number: 1053772087
Entity Type: Organization
Organization Name: Fond Du Lac Reservation Business Committee
Subpart: Yes (part of a larger organization)
Parent Organization: FOND DU LAC HUMAN SERVICES DIVISION
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 18, 2016
Last Updated: Jun 23, 2020

Practice Location

Address: 927 TRETTEL LN
City: Cloquet
State: Minnesota
ZIP Code: 55720-1345
Phone: (218) 879-1227

Authorized Official

Name: JENNIFER DUPUIS
Title: ASSOCIATE DIRECTOR
Phone: (218) 879-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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