| Human Development Center | |
|
40 11th St Cloquet MN 55720-1817 | |
| (218) 879-4559 | |
| (218) 879-0282 |
| Full Name | Human Development Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 11th St, Cloquet, Minnesota |
| Authorized Official Name and Position | Benjmain Hatfield (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2187284491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Development Center 1401 E 1st St Duluth MN 55805-2407 Ph: (218) 728-4491 | Human Development Center 40 11th St Cloquet MN 55720-1817 Ph: (218) 879-4559 |
| NPI Number | 1114048527 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114048527 | NPI | - | NPPES |
| 648518900 | Medicaid | MN | |
| 744755800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8534482 (Minnesota) | Primary |
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