NPI 1700958881
Nexus
Practice location
- Address
- 407 130th Avenue South, Onamia, MN 56359
- Phone
- (320) 532-4005
- Fax
- (320) 532-4898
Authorised official
- Name
- Jason Lynn Donahue
- Title
- Executive Director
- Phone
- (320) 532-4005
Registered specialties (3)
Mental Illness Community Based Residential Treatment Facility
Primary
Adolescent and Children Mental Health Clinic/Center
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1700958881
- Entity type
- Organization
- NPI issued
- 14 Nov 2006
- Record last updated
- 21 Jul 2022
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.