Organization
COUNTY OF BROWN
Active
Parent organization
COUNTY OF BROWN
Other names
Brown County Community Treatment Center - Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF BROWN
Authorized official
ELIZA KILLIAN (BEHAVIORAL HEALTH SUPERVISOR)
(920) 391-4700
Entity
Organization
Contact information
Practice address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-6940
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42186400
—
WI
01
—
510142673068
BLUE CROSS
WI
01
—
CC6458
RAILROAD MEDICARE
WI
Enumeration date
09/13/2006
Last updated
05/10/2024
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