Healthcare Provider Details

I. General information

NPI: 1619196524
Provider Name (Legal Business Name): CENTER FOR ALCOHOL AND DRUG TREATMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 W SUPERIOR ST STE 400
DULUTH MN
55802-1892
US

IV. Provider business mailing address

314 W SUPERIOR ST STE 400
DULUTH MN
55802-1892
US

V. Phone/Fax

Practice location:
  • Phone: 218-723-8444
  • Fax: 218-529-3440
Mailing address:
  • Phone: 218-723-8444
  • Fax: 218-336-4652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. TINA M. SILVERNESS
Title or Position: CEO
Credential: MBA, MAM, LADC, LSW
Phone: 715-817-6314