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

Jacy1 Dba Anchorage

Organization Substance Abuse Rehabilitation Facility · NPI 1508044975

Jacy1 Dba Anchorage is a Substance Abuse Rehabilitation Facility in Moorhead, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

810 4th St S Ste 152
Moorhead, MN 56560
Phone: (218) 287-1500
Fax: (218) 287-1267
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 1044799 (MN)

Record details

NPI number1508044975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Ray — Program Director · (218) 287-1500
NPI enumeratedFebruary 7, 2008
Last updated in NPPESFebruary 7, 2008
Mailing address810 4th St S, Suite 152, Moorhead, MN 56560

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