OrganizationActive
Valley-Lake Boy'S Home, Inc.
NPI 1760666903 · Emotionally Disturbed Childrens' Residential Treatment Facility · Breckenridge, MN
Provider details
- NPI number
- 1760666903
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Engebretson, Executive Director(218) 643-4036
- License
- 1036970-1-CRF (MN)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 1036970-1-CRF (MN)
Residential Treatment Facilities
Practice location
3850 200th Ave
Breckenridge, MN 56520-0411
Phone: (218) 643-4036
Fax: (218) 643-5226
Approximate (ZIP-level) locationGet directions
Mailing address
3850 200th Ave
Breckenridge, MN 56520-0411
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2007-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.