Fdl Adolescent Outpatient Tx
NPI #1447606959 in Cloquet, Minnesota
Provider Information
- NPI Number
- 1447606959
- Entity Type
- Organization
- Organization Name
- Fdl Adolescent Outpatient Tx
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FOND DU LAC HUMAN SERVICES DIVISION
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- May 13, 2016
- Last Updated
- Oct 10, 2016
Practice Location
Authorized Official
- Name
- MARILYN GROVER
- Title
- ASSOCIATE DIRECTOR
- Phone
- (218) 879-1227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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