Organization Name: | NEXUS |
NPI Number: | 1700958881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON LYNN DONAHUE (EXECUTIVE DIRECTOR) |
Mailing Address: | 407 130th Avenue South Onamia |
State: | MN US |
Postal Code: | 56359 |
Phone Number: | 3205324005 |
Fax Number: | 3205324898 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |