NPI 1265642318

Jackie Nitschke Center, INC.

Organisation Substance Abuse Rehabilitation Facility Green Bay, WI

Practice location

Address: 630 Cherry St, Green Bay, WI 54301-4931
Phone: (920) 435-2093

Authorised official

Name: William J. Labine
Title: Executive Director
Phone: (920) 435-2093

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1446 (WI)

Other Substance Abuse Rehabilitation Facility providers in Wisconsin →

Registry record

NPI: 1265642318
Entity type: Organization
NPI issued: 23 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.