National Provider Identifier Database

PRAIRIE LAKES YOUTH PROGRAMS BOYS GROUP HOME
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

PRAIRIE LAKES YOUTH PROGRAMS BOYS GROUP HOME
1013 LAKELAND DR NE
WILLMAR, MN56201-2114
Phone: 320-235-6895
Fax: 320-231-3818
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for PRAIRIE LAKES YOUTH PROGRAMS BOYS GROUP HOME

NPI Number 1679750426
Legal business name
LBN
PRAIRIE LAKES YOUTH PROGRAMS BOYS GROUP HOME
Authorized official JOYCE MCGILLIVRAY - (ACCOUNTS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/23/2008
Last updated 01/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1049804-1-CRF

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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