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Jasper Wellness Group Llc
Substance Abuse Rehabilitation Facility in Green Bay, Wisconsin
NPI 1851155048

Jasper Wellness Group Llc is a Substance Abuse Rehabilitation Facility based in Suamico, WI. Jasper Wellness Group Llc practices in Green Bay, WI. The NPI Number for Jasper Wellness Group Llc is 1851155048 and holds a License No. (Wisconsin).

The current practice location address for Jasper Wellness Group Llc is 1311 N Danz Ave, Green Bay, WI and can be reached out via phone at 920-676-9697. You can also correspond with Jasper Wellness Group Llc through the mailing address at 2055 S TANAGER LN, SUAMICO, WI - 54313-4003 (mailing address contact number: 920-676-9697).

Location: 1311 N Danz Ave, Green Bay, WI, 54313-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851155048
Provider Name
Jasper Wellness Group Llc
Credential
Provider Entity Type
Organization
Address
1311 N Danz Ave, Green Bay, WI, 54313-4003
Phone Number
920-676-9697
Fax Number
Provider Enumeration Date
02/08/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1311 N Danz Ave
City
Green Bay
State
Wisconsin
Zip
54302-3005
Phone Number
920-676-9697
Fax Number
person
Provider Business Mailing Address Details
Address
2055 S Tanager Ln
City
Suamico
State
Wisconsin
Zip
54313-4003
Phone Number
920-676-9697
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
163WA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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