Organization · Type 2 NPI

Jacy II LLC

Children's Substance Abuse Rehabilitation Facility · Litchfield, MN

NPI number 1760929574 Active

Practice location

1326 E Ripley St
Litchfield, MN 55355-4525

Fax (320) 593-0442

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500X010872752 (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 1760929574

Jacy II LLC's National Provider Identifier is 1760929574, issued on Jan 31, 2017. 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 Jan 31, 2017.