FDL ADULT OUTPATIENT TX
NPI 1225335862
Clinic/Center - Rehabilitation, Substance Use Disorder in Cloquet, MN

Q: What is Fond Du Lac Reservation Business Committee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since February 17, 2011

927 TRETTEL LANE, FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720(218) 879-1227(218) 878-3755 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 10, 2016, Feb 26, 2016 (2 updates tracked since 2016).

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About Fdl Adult Outpatient Tx NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FDL ADULT OUTPATIENT TX (NPI 1225335862) is a healthcare organization registered as a rehabilitation, substance use disorder in Cloquet, Minnesota and active in the NPI registry since February 2011. The organization lists Marilyn Grover, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1225335862

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameFOND DU LAC RESERVATION BUSINESS COMMITTEE

Location Address927 TRETTEL LANE, FOND DU LAC HUMAN SERVICES DIVISIONCloquet, MN 55720

Mailing Address927 Trettel Lane, Fond Du Lac Human Services DivisionCloquet, MN 55720 · (218) 879-1227 · Fax (218) 878-3755

Phone(218) 879-1227

Fax(218) 878-3755

Organization SubpartYesParent: Fond Du Lac Human Services Division

Authorized OfficialMarilyn GroverAssociate Director · (218) 879-1227

Enumeration DateFebruary 17, 2011

Last NPPES UpdateOctober 10, 20162 updates tracked since enumeration

✔ NPI 1225335862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in MN · 012010

927 TRETTEL LANE, Cloquet, MN 55720

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Other Names 1

Doing Business AsFdl Adult Outpatient Tx

Other Identifiers 2

Medicare NSC1326053166

Medicaid1326053166MN

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOND DU LAC RESERVATION BUSINESS COMMITTE

Clinic/Center (Dental)

927 TRETTEL LANE, FOND DU LAC HUMAN SERVICES DIVISION DENTAL CLINIC
CLOQUET, MN 55720

Carlton County (218) 879-1227

JEANNE RICE O.D.

Optometrist