Organization
JACKIE NITSCHKE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J. LABINE MSW ICS CSAC (EXECUTIVE DIRECTOR)
(920) 435-2093
Entity
Organization
Contact information
Practice address
630 CHERRY ST, GREEN BAY, WI 54301-4931
(920) 435-2093
Mailing address
630 CHERRY ST, GREEN BAY, WI 54301-4931
(920) 435-2093
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1446
WI
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up