Prairie Lakes Youth Programs Boys Group Home in Willmar - Substance Abuse Treatment, Children
Prairie Lakes Youth Programs Boys Group Home - NPI 1679750426
Prairie Lakes Youth Programs Boys Group Home is a Substance Abuse Treatment, Children in Willmar, Minnesota. Prairie Lakes Youth Programs Boys Group Home practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Prairie Lakes Youth Programs Boys Group Home is 1679750426. The last update date is 2008-01-23.
Prairie Lakes Youth Programs Boys Group Home's current location address is 1013 Lakeland Dr Ne, Willmar, Minnesota. You can contact this provider via phone number 3202356895 and fax number 3202313818. The mailing address for Prairie Lakes Youth Programs Boys Group Home is 1013 Lakeland Dr Ne, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Lakes Youth Programs Boys Group Home |
|---|---|
| Address | 1013 Lakeland Dr Ne, Willmar, Minnesota |
| Phone Number | 3202356895 |
| Fax Number | 3202313818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTS M |
|---|---|
| Authorized Official Name | Mcgillivray K. Joyce |
| Telephone Number | 3202350975 |
NPI Number Detail
| NPI Number | 1679750426 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 1013 Lakeland Dr Ne |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 562012114 |
| Phone Number | 3202356895 |
| Fax Number | 3202313818 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | 1049804-1-CR |
|
Definition: 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 su |
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Post Comment/ Review Below
What is the Prairie Lakes Youth Programs Boys Group Home's 1679750426?
The Prairie Lakes Youth Programs Boys Group Home's NPI (National Provider Identifier) Number is 1679750426. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Prairie Lakes Youth Programs Boys Group Home's facilities are situated?
The facilities of Prairie Lakes Youth Programs Boys Group Home are physically located at the following address: 1013 Lakeland Dr Ne, Willmar, MN, 562012114.
What is Prairie Lakes Youth Programs Boys Group Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Prairie Lakes Youth Programs Boys Group Home's area of specialization is Substance Abuse Treatment, Children, and the corresponding taxonomy code that categorizes this field of practice is 3245S0500X.
When did Prairie Lakes Youth Programs Boys Group Home receive its 1679750426 assignment?
The Prairie Lakes Youth Programs Boys Group Home was assigned its 1679750426 on 2008-01-23, which is the date when this unique identifier was issued to the organization.
When was the information regarding Prairie Lakes Youth Programs Boys Group Home most recently updated?
The details pertaining to the Prairie Lakes Youth Programs Boys Group Home, including its address, specialty, and other relevant information, were last refreshed on 2008-01-23.
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