Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Valley-Lake Boy's Home, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1760666903

Valley-Lake Boy's Home, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Breckenridge, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3850 200th Ave
Breckenridge, MN 56520-0411
Phone: (218) 643-4036
Fax: (218) 643-5226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 1036970-1-CRF (MN)

Record details

NPI number1760666903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Engebretson — Executive Director · (218) 643-4036
NPI enumeratedDecember 24, 2007
Last updated in NPPESDecember 24, 2007
Mailing address3850 200th Ave, Breckenridge, MN 56520-0411