JACY 1 NPI 1982879912

NPI Information

JACY 1 is a substance abuse rehabilitation facility in Saint Cloud, MN. The provider is 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. JACY 1 NPI is 1982879912. The provider is registered as an organization entity type.
The provider Is Doing Business As Anchorage.

The provider's business location address is:

600 25TH AVE S STE 105
SAINT CLOUD, MN
ZIP 56301-820
Phone: (320) 255-9530

The provider's authorized official is Laura Lee Litke .
The authorized official title is Executive Assistant and has the following contact phone number (320) 255-9530.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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