Prairie Lakes Youth Programs Boys Group Home
Prairie Lakes Youth Programs Boys Group Home is a Children's Substance Abuse Rehabilitation Facility in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
Practice location Address checks out
1013 Lakeland Dr NEWillmar, MN 56201-2114
Phone: (320) 235-6895
Fax: (320) 231-3818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Children's Substance Abuse Rehabilitation Facility (primary) | Taxonomy 3245S0500X · Licence 1049804-1-CRF (MN) |
|---|
Record details
| NPI number | 1679750426 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joyce McGillivray — Accounts Manager · (320) 235-0975 |
| NPI enumerated | January 23, 2008 |
| Last updated in NPPES | January 23, 2008 |
| Mailing address | 1804 Civic Center Dr, Po Box 902, Willmar, MN 56201-9446 |
Other providers in Willmar
-
Prairie Lakes Youth Programs Girls Group Home
822 Park Ave, Willmar, MN 56201-2568 · (320) 235-6637