Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacy 1

Organization Substance Abuse Rehabilitation Facility · NPI 1982879912

Jacy 1 is a Substance Abuse Rehabilitation Facility in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

600 25th Ave S Ste 105
Saint Cloud, MN 56301-4820
Phone: (320) 255-9530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 10447991CDT (MN)

Record details

NPI number1982879912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Litke — Executive Assistant · (320) 255-9530
Other names Anchorage
NPI enumeratedApril 30, 2008
Last updated in NPPESApril 30, 2008
Mailing address600 25th Ave S Ste 105, Saint Cloud, MN 56301-4820

Other providers in Saint Cloud