Organization · Type 2 NPI

Jacy 2, LLC

Children's Substance Abuse Rehabilitation Facility · Litchfield, MN

NPI number 1124212873 Active

Practice location

319 Csah #20
Litchfield, MN 55355

Mailing address

1096 E 260th St
New Prague, MN 56071-8880

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500X1047343 (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.

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About NPI 1124212873

Jacy 2, LLC's National Provider Identifier is 1124212873, issued on Sep 5, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Litchfield, MN. The record was last updated on Sep 5, 2007.