PRAIRIE LAKES YOUTH PROGRAMS BOYS GROUP HOME
NPI 1679750426
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Willmar, MN

Q: What is Prairie Lakes Youth Programs Boys Group Home's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since January 23, 2008

1013 LAKELAND DR NE, WILLMAR, MN 56201(320) 235-6895(320) 231-3818 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prairie Lakes Youth Programs Boys Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE LAKES YOUTH PROGRAMS BOYS GROUP HOME (NPI 1679750426) is a healthcare organization registered as a substance abuse treatment, children in Willmar, Minnesota and active in the NPI registry since January 2008. The organization lists Joyce K. Mcgillivray, Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1679750426

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NamePRAIRIE LAKES YOUTH PROGRAMS BOYS GROUP HOME

Location Address1013 LAKELAND DR NEWillmar, MN 56201-2114

Mailing Address1804 Civic Center Dr, Po Box 902Willmar, MN 56201-9446 · (320) 235-0975 · Fax (320) 214-7067

Phone(320) 235-6895

Fax(320) 231-3818

Organization SubpartNo

Authorized OfficialJoyce K. McgillivrayAccounts Manager · (320) 235-0975

Enumeration DateJanuary 23, 2008

✔ NPI 1679750426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

License✔ Licensed in MN · 1049804-1-CRF

Definition

A facility or distinct part of a facility for children 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.

1013 LAKELAND DR NE, Willmar, MN 56201

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Lakes Youth Programs Boys Group Home's NPI number?

The NPI number for Prairie Lakes Youth Programs Boys Group Home is 1679750426. It was assigned to this organization in the NPPES registry on January 23, 2008.

Where is Prairie Lakes Youth Programs Boys Group Home located?

Prairie Lakes Youth Programs Boys Group Home is located at 1013 Lakeland Dr NE, Willmar, MN 56201. The listed phone number is (320) 235-6895.

What is Prairie Lakes Youth Programs Boys Group Home's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Prairie Lakes Youth Programs Boys Group Home was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.