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Jackie Nitschke Center, Inc.
Substance Abuse Rehabilitation Facility in Green Bay, Wisconsin
NPI 1265642318

Jackie Nitschke Center, Inc. is a Substance Abuse Rehabilitation Facility based in Green Bay, WI. Jackie Nitschke Center, Inc. practices in Green Bay, WI. The NPI Number for Jackie Nitschke Center, Inc. is 1265642318 and holds a License No. 1446 (Wisconsin).

The current practice location address for Jackie Nitschke Center, Inc. is 630 Cherry St, Green Bay, WI and can be reached out via phone at 920-435-2093. You can also correspond with Jackie Nitschke Center, Inc. through the mailing address at 630 CHERRY ST, GREEN BAY, WI - 54301-4931 (mailing address contact number: 920-435-2093).

Location: 630 Cherry St, Green Bay, WI, 54301-4931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265642318
Provider Name
Jackie Nitschke Center, Inc.
Credential
Provider Entity Type
Organization
Address
630 Cherry St, Green Bay, WI, 54301-4931
Phone Number
920-435-2093
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
630 Cherry St
City
Green Bay
State
Wisconsin
Zip
54301-4931
Phone Number
920-435-2093
Fax Number
person
Provider Business Mailing Address Details
Address
630 Cherry St
City
Green Bay
State
Wisconsin
Zip
54301-4931
Phone Number
920-435-2093
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
1446 (Wisconsin)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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