Provider Demographics
NPI:1790271849
Name:NEXUS FAMILY HEALING
Entity Type:Organization
Organization Name:NEXUS FAMILY HEALING
Other - Org Name:NEXUS-INDIAN OAKS FAMILY HEALING
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF FINANCIAL PLANNING
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:DUNNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-551-8664
Mailing Address - Street 1:505 HIGHWAY 169 N STE 500
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6447
Mailing Address - Country:US
Mailing Address - Phone:763-551-8640
Mailing Address - Fax:
Practice Address - Street 1:101 N BRAMBLE ST
Practice Address - Street 2:
Practice Address - City:MANTENO
Practice Address - State:IL
Practice Address - Zip Code:60950-9303
Practice Address - Country:US
Practice Address - Phone:815-802-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children