Organization
COUNTY OF BROWN
Active
Parent organization
COUNTY OF BROWN
Other names
Brown County Community Treatment Center - Personal Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF BROWN
Authorized official
MR. KEVIN LUNOG MS, LCSW, CADCIII (CLINICAL SUPPORT SERVICES UNIT 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
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43101500
—
WI
Enumeration date
09/25/2006
Last updated
02/11/2010
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