Organization
NEXUS FAMILY HEALING
Active
Other names
Indian Oaks Academy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CLARK DUNNING (DIRECTOR OF FINANCIAL PLANNING)
(763) 551-8664
Entity
Organization
Contact information
Practice address
185 CHESTNUT, MANTENO, IL 60950
(815) 802-3700
(815) 468-2320
Mailing address
505 HIGHWAY 169 N, SUITE 500, PLYMOUTH, MN 55441-6647
(763) 551-8640
(763) 553-1637
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
223668-06
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-IPI-051
—
IL
Enumeration date
06/28/2013
Last updated
08/07/2020
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