Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Nitschke Center, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1265642318

Jackie Nitschke Center, Inc is a Substance Abuse Rehabilitation Facility in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Cherry St
Green Bay, WI 54301-4931
Phone: (920) 435-2093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 1446 (WI)

Record details

NPI number1265642318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Labine — Executive Director · (920) 435-2093
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address630 Cherry St, Green Bay, WI 54301-4931

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