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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE NITSCHKE CENTER, INC.

Active Organization

JACKIE NITSCHKE CENTER, INC. is a Substance Abuse Rehabilitation Facility organization located in GREEN BAY, Wisconsin. NPI 1265642318 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · GREEN BAY, WI

Registration Details

NPI Number
1265642318
Provider Type
Organization
NPI Issued
May 23, 2007 (19.196567913813 yrs)
Last Updated
Aug 22, 2020
License
1446 (WI)

Practice Information

Address
630 CHERRY ST
GREEN BAY, WI, 543014931
Browse WI providers · Browse ZIP 54301
Phone
9204352093
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in GREEN BAY, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.