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Organization

NEXUS FAMILY HEALING

Active
Parent organization
NEXUS FAMILY HEALING
Other names
Nexus Mille Lacs Family Healing
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEXUS FAMILY HEALING
Authorized official
JASON LEIGH FORBORD (ACCOUNTING MANAGER)
(320) 532-4005
Entity
Organization

Contact information

Practice address
407 130TH AVE S, ONAMIA, MN 56359-3115
(320) 532-4005
Mailing address
407 130TH AVE S, ONAMIA, MN 56359-3115

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
1036935-2-CRF
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700958881
NPI FOR RESIDENTIAL TREATMENT FACILITY
MN
Enumeration date
06/05/2012
Last updated
12/21/2021
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