Provider Demographics
NPI:1770465932
Name:NURTURE NEXUS TREATMENT CENTER
Entity type:Organization
Organization Name:NURTURE NEXUS TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:RWANJUNGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-572-1320
Mailing Address - Street 1:1307B W ABRAM ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-1700
Mailing Address - Country:US
Mailing Address - Phone:503-572-1320
Mailing Address - Fax:
Practice Address - Street 1:1307B W ABRAM ST STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-1700
Practice Address - Country:US
Practice Address - Phone:503-572-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health