| NPI | 1851905251 |
|---|---|
| Doing Business As | SERCC-NEXUS |
| Entity Type | Organization |
| Authorized Contact | LISA ASPER Contract Manager 763-226-8397 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261Q00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-11-10 |