Jacy, LLC
NPI #1346455714 in Cold Spring, Minnesota
Provider Information
- NPI Number
- 1346455714
- Entity Type
- Organization
- Organization Name
- Jacy, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 614 EMMAS DR SE
- City
- Cold Spring
- State
- Minnesota
- ZIP Code
- 56320-1454
- Phone
- (320) 685-9847
Authorized Official
- Name
- CARMEN MARIE WILSON
- Title
- OWNER
- Phone
- (320) 255-9530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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