Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI # | 1649610841 |
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| LBN Legal business name | NEXUS FAMILY HEALING | ||||||||
| Authorized official | JASON DUNNING - (DIRECTOR OF FINANCIAL PLANNING) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/02/2013 | ||||||||
| Last updated | 08/07/2020 - About 6 years ago | ||||||||
| Identifiers |
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