Organization · Type 2 NPI
Jacy1 dba Anchorage
Substance Abuse Rehabilitation Facility · Moorhead, MN
NPI number
1508044975
Active
Practice location
810 4th St S, Suite 152
Moorhead, MN 56560
Fax (218) 287-1267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 1044799 (MN) |
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in Moorhead
About NPI 1508044975
Jacy1 dba Anchorage's National Provider Identifier is 1508044975, issued on Feb 7, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Moorhead, MN. The record was last updated on Feb 7, 2008.