| Nexus Mille Lacs Family Healing | |
|
407 130th Ave S Onamia MN 56359-3115 | |
| (320) 532-4005 | |
| Not Available |
| Full Name | Nexus Mille Lacs Family Healing |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 407 130th Ave S, Onamia, Minnesota |
| Authorized Official Name and Position | Jason Leigh Forbord (ACCOUNTING MANAGER) |
| Authorized Official Contact | 3205324005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Mille Lacs Family Healing 407 130th Ave S Onamia MN 56359-3115 Ph: () - | Nexus Mille Lacs Family Healing 407 130th Ave S Onamia MN 56359-3115 Ph: (320) 532-4005 |
| NPI Number | 1063773174 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063773174 | NPI | - | NPPES |
| 1700958881 | Other | MN | NPI FOR RESIDENTIAL TREATMENT FACILITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 1036935-2-CRF (Minnesota) | Primary |
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