# COUNTY OF BROWN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF BROWN
- **Other names:** Brown County Community Treatment Center - Personal Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538269949
- **Legal business name:** COUNTY OF BROWN
- **Authorized official:** MR. KEVIN LUNOG MS, LCSW, CADCIII (CLINICAL SUPPORT SERVICES UNIT COOR)
- **Authorized official phone:** (920) 391-6959

## Contact information

- **Practice address:** 3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
- **Practice address phone:** (920) 391-4839
- **Practice address fax:** (920) 391-4870
- **Mailing address:** 3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
- **Mailing address phone:** (920) 391-4839
- **Mailing address fax:** (920) 391-4870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 02/11/2010
