Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Fdl Adolescent Outpatient Tx

Adolescent and Children Mental Health Clinic/Center in Cloquet, MN · enumerated 2016 · authorized official Marilyn Grover, Associate Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447606959

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Registry record

Entity type Organization (Type 2)

Legal business name Fdl Adolescent Outpatient Tx

Other name <Unavail>

Parent organization Fond Du Lac Human Services Division

Practice address 927 Trettel Ln, Cloquet, MN, 55720

Phone (218) 879-1227

Enumeration date May 13, 2016

Last updated in NPPES Oct 10, 2016

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Marilyn Grover

Title Associate Director

Phone (218) 879-1227

Other identifiers

Identifier	Type	State	Issuer
666815101	Medicaid	MN	-
666815100	Medicaid	MN	-
8F27F0	Other	MN	BCBS AODA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-10-10. Verify at npiregistry.cms.hhs.gov.

Where is Fdl Adolescent Outpatient Tx located?

The practice location on file with NPPES is in Cloquet, MN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-10.