Organization · Type 2 NPI

Jacy 1

Substance Abuse Rehabilitation Facility · St. Cloud, MN

NPI number 1982879912 Active

Practice location

600 25th Ave S Ste 105
St. Cloud, MN 56301-4820

Call (320) 255-9530 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X10447991CDT (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.

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About NPI 1982879912

Jacy 1's National Provider Identifier is 1982879912, issued on Apr 30, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in St. Cloud, MN. The record was last updated on Apr 30, 2008.