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Organization

FATHERS RISE TOGETHER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAQUANA MCENTYRE (FOUNDER)
(218) 461-1722
Entity
Organization

Contact information

Practice address
2024 W 3RD ST, DULUTH, MN 55806-2053
(218) 390-9204
Mailing address
2024 W 3RD ST, DULUTH, MN 55806-2053
(218) 390-9204

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
251B00000X
Case Management Agency
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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