Fond Du Lac Reservation Business Committee

NPI #1225335862 in Cloquet, Minnesota

Provider Information

NPI Number
1225335862
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 - Rehabilitation, Substance Use Disorder
Enumeration Date
Feb 17, 2011
Last Updated
Oct 10, 2016

Practice Location

Address
927 TRETTEL LANE
Address 2
FOND DU LAC HUMAN SERVICES DIVISION
ZIP Code
55720
Phone
(218) 879-1227

Authorized Official

Name
MS. MARILYN GROVER
Title
ASSOCIATE DIRECTOR
Phone
(218) 879-1227

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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