| NPI | 1366897753 |
|---|---|
| Doing Business As | NEXUS GLEN LAKE |
| Entity Type | Organization |
| Authorized Contact | DAVID HUTCHINSON CFO 763-551-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |