Organization
COUNTY OF BROWN
Active
Parent organization
COUNTY OF BROWN
Other names
Brown County Community Treatment Center - CCS Non billing
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF BROWN
Authorized official
KEVIN LUNOG MS, LCSW, CADCIII (CLINICAL SUPPORT SERVICE COOR)
(920) 391-6959
Entity
Organization
Contact information
Practice address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-4839
(920) 391-4870
Mailing address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-4839
(920) 391-4870
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2615
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41761700
—
WI
Enumeration date
11/24/2006
Last updated
02/11/2010
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