NPI 1093927998

Jacy, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Cold Spring, MN

Practice location

Address: 616 Emmas Dr SE, Cold Spring, MN 56320-1454
Phone: (320) 685-4578
Mailing address: 600 25th Ave S STE 201, Saint Cloud, MN 56301-4841

Authorised official

Name: Carmen Marie Wilson
Title: Owner
Phone: (320) 255-9530

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 1043554-2-AFC (MN)

Other Community Based Residential Treatment Facility, Mental Illness providers in Minnesota →

Registry record

NPI: 1093927998
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.