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Organization
NEXUS
Active
Organization
NEXUS
Active
Other names
Mille Lacs Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER HARTKEMEYER (REVENUE CYCLE MANAGER)
(763) 551-8640
Entity
Organization
Contact information
Practice address
407 130TH AVE S, ONAMIA, MN 56359-3115
(320) 532-4005
(320) 532-4898
Mailing address
407 130TH AVE S, ONAMIA, MN 56359-3115
(320) 532-4005
(320) 532-4898
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
08/19/2026
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