Valley-Lake Boy's Home, Inc.
NPI #1760666903 in Breckenridge, Minnesota
Provider Information
- NPI Number
- 1760666903
- Entity Type
- Organization
- Organization Name
- Valley-Lake Boy's Home, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Dec 24, 2007
- Last Updated
- Dec 24, 2007
Practice Location
- Address
- 3850 200TH AVE
- City
- Breckenridge
- State
- Minnesota
- ZIP Code
- 56520-0411
- Phone
- (218) 643-4036
Authorized Official
- Name
- MR. MARK ALLEN ENGEBRETSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (218) 643-4036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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