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Jacy1 Dba Anchorage
Substance Abuse Rehabilitation Facility in Moorhead, Minnesota
NPI 1508044975

Jacy1 Dba Anchorage is a Substance Abuse Rehabilitation Facility based in Moorhead, MN. Jacy1 Dba Anchorage practices in Moorhead, MN. The NPI Number for Jacy1 Dba Anchorage is 1508044975 and holds a License No. 1044799 (Minnesota).

The current practice location address for Jacy1 Dba Anchorage is 810 4Th St S, Moorhead, MN and can be reached out via phone at 218-287-1500 and via fax at 218-287-1267. You can also correspond with Jacy1 Dba Anchorage through the mailing address at 810 4TH ST S, MOORHEAD, MN - 56560 (mailing address contact number: 218-287-1500).

Location: 810 4Th St S, Moorhead, MN, 56560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508044975
Provider Name
Jacy1 Dba Anchorage
Credential
Provider Entity Type
Organization
Address
810 4Th St S, Moorhead, MN, 56560
Phone Number
218-287-1500
Fax Number
218-287-1267
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
810 4Th St S
City
Moorhead
State
Minnesota
Zip
56560
Phone Number
218-287-1500
Fax Number
218-287-1267
person
Provider Business Mailing Address Details
Address
810 4Th St S
City
Moorhead
State
Minnesota
Zip
56560
Phone Number
218-287-1500
Fax Number
218-287-1267
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
1044799 (Minnesota)
Definition
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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