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Jacy 1
Substance Abuse Rehabilitation Facility in Saint Cloud, Minnesota
NPI 1982879912

Jacy 1 is a Substance Abuse Rehabilitation Facility based in Saint Cloud, MN. Jacy 1 practices in Saint Cloud, MN. The NPI Number for Jacy 1 is 1982879912 and holds a License No. 10447991CDT (Minnesota).

The current practice location address for Jacy 1 is 600 25Th Ave S Ste 105, Saint Cloud, MN and can be reached out via phone at 320-255-9530.

Location: 600 25Th Ave S Ste 105, Saint Cloud, MN, 56301-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982879912
Provider Name
Jacy 1
Credential
Provider Entity Type
Organization
Address
600 25Th Ave S Ste 105, Saint Cloud, MN, 56301-4820
Phone Number
320-255-9530
Fax Number
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 25Th Ave S Ste 105
City
Saint Cloud
State
Minnesota
Zip
56301-4820
Phone Number
320-255-9530
Fax Number
person
Provider Business Mailing Address Details
Address
600 25Th Ave S Ste 105
City
Saint Cloud
State
Minnesota
Zip
56301-4820
Phone Number
320-255-9530
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
10447991CDT (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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