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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACY 1

Active Organization

Substance Abuse Rehabilitation Facility · SAINT CLOUD, MN

Registration Details

NPI Number
1982879912
Provider Type
Organization
NPI Issued
Apr 30, 2008 (17.977438619552 yrs)
Last Updated
Apr 30, 2008
License
10447991CDT (MN)

Practice Information

Address
600 25TH AVE S STE 105
SAINT CLOUD, MN, 563014820
Browse MN providers · Browse ZIP 56301
Phone
3202559530
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in SAINT CLOUD, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.