Organization
FATHERS RISE TOGETHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAQUANA MCENTYRE (EXECUTIVE DIRECTOR)
(218) 390-9204
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
171M00000X
Case Manager/Care Coordinator
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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