1447606959 FDL ADOLESCENT OUTPATIENT TX

Adolescent and Children Mental Health Clinic/Center

Active

Basic Information

Organization Name
FDL ADOLESCENT OUTPATIENT TX
Enumeration Date
May 13, 2016
Last Update
October 10, 2016
Authorized Official
MARILYN GROVER
ASSOCIATE DIRECTOR
Phone: (218) 879-1227

Practice Location

Address
927 TRETTEL LN
CLOQUET, MN 557201345
Phone
(218) 879-1227

Mailing Address

Address
927 TRETTEL LN
CLOQUET, MN 557201345
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
666815101 05 MN N/A
666815100 05 MN N/A
8F27F0 01 MN BCBS AODA

Frequently Asked Questions

What is FDL ADOLESCENT OUTPATIENT TX's NPI number?
FDL ADOLESCENT OUTPATIENT TX's NPI number is 1447606959.
Which doctor has NPI number 1447606959?
The doctor with NPI number 1447606959 is FDL ADOLESCENT OUTPATIENT TX.
What is FDL ADOLESCENT OUTPATIENT TX's practice address?
FDL ADOLESCENT OUTPATIENT TX's practice address is 927 TRETTEL LN, CLOQUET, MN, 557201345.
Which doctor practices at 927 TRETTEL LN, CLOQUET, MN, 557201345?
FDL ADOLESCENT OUTPATIENT TX practices at 927 TRETTEL LN, CLOQUET, MN, 557201345.
What is FDL ADOLESCENT OUTPATIENT TX's phone number?
FDL ADOLESCENT OUTPATIENT TX's phone number is (218) 879-1227.
Who is (218) 879-1227?
(218) 879-1227 is the phone number for FDL ADOLESCENT OUTPATIENT TX.
What is FDL ADOLESCENT OUTPATIENT TX's specialty?
FDL ADOLESCENT OUTPATIENT TX's specialty is Adolescent and Children Mental Health Clinic/Center.
What type of doctor is FDL ADOLESCENT OUTPATIENT TX?
FDL ADOLESCENT OUTPATIENT TX is a Adolescent and Children Mental Health Clinic/Center.
Is FDL ADOLESCENT OUTPATIENT TX a Adolescent and Children Mental Health?
Yes, FDL ADOLESCENT OUTPATIENT TX is a Adolescent and Children Mental Health.
Is FDL ADOLESCENT OUTPATIENT TX still practicing?
Yes, FDL ADOLESCENT OUTPATIENT TX is currently practicing.
Is FDL ADOLESCENT OUTPATIENT TX accepting new patients?
FDL ADOLESCENT OUTPATIENT TX may be accepting new patients. Please call their office at (218) 879-1227 to inquire about availability.
Is NPI 1447606959 still active?
Yes, NPI 1447606959 is currently active.
Where does FDL ADOLESCENT OUTPATIENT TX practice?
FDL ADOLESCENT OUTPATIENT TX practices in CLOQUET, MN.