Whalio Doctors

NPI 1366897753

Nexus

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Minnetonka, MN

Practice location

Address
14300 County Road 62, Minnetonka, MN 55345-6706
Phone
(320) 532-4005
Fax
(320) 532-4898
Mailing address
407 130th Ave S, Onamia, MN 56359-3115

Authorised official

Name
David Hutchinson
Title
Cfo
Phone
(763) 551-8640

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1366897753
Entity type
Organization
NPI issued
4 May 2016
Record last updated
4 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.