Organization · Type 2 NPI
Prairie Lakes Youth Programs Girls Group Home
Children's Substance Abuse Rehabilitation Facility · Willmar, MN
Practice location
822 Park Ave
Willmar, MN 56201-2568
Fax (320) 235-6659
Mailing address
1804 Civic Center Dr, PO Box 902
Willmar, MN 56201-9446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | 1049805-1-CRF (MN) |
Children's Substance Abuse Rehabilitation Facility: 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.
Other children's substance abuse rehabilitation facility providers in Willmar
About NPI 1831376680
Prairie Lakes Youth Programs Girls Group Home's National Provider Identifier is 1831376680, issued on Jan 23, 2008. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Willmar, MN. The record was last updated on Jan 23, 2008.