| Brown County Community Treatment Center - Md Group | |
|
3150 Gershwin Drive Green Bay WI 54311-5859 | |
| (920) 391-4700 | |
| (920) 391-4870 |
| Full Name | Brown County Community Treatment Center - Md Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3150 Gershwin Drive, Green Bay, Wisconsin |
| Authorized Official Name and Position | Kara Gruber (ADMINISTRATOR) |
| Authorized Official Contact | 9203914700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown County Community Treatment Center - Md Group 3150 Gershwin Drive Green Bay WI 54311-5859 Ph: (920) 391-4700 | Brown County Community Treatment Center - Md Group 3150 Gershwin Drive Green Bay WI 54311-5859 Ph: (920) 391-4700 |
| NPI Number | 1679747059 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679747059 | NPI | - | NPPES |
| 32795400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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