Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
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DEPARTMENT OF HEALTH SERVICES<br />
Division of Quality Assurance<br />
Pr<strong>in</strong>t Date: 08/28/2012<br />
Page 114 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1377<br />
GENESIS MILWAUKEE OUTPATIENT CLINIC<br />
GINA SINGLETERY<br />
230 W WELLS STREET, #312<br />
MILWAUKEE, WI 53203<br />
County: Milwaukee<br />
G<strong>in</strong>a.S<strong>in</strong>gletery@Corizon<strong>Health</strong>.com<br />
Phone: (414) 344-3406<br />
Fax: (414) 344-0107<br />
Surveyor: William Goehr<strong>in</strong>g<br />
Services<br />
Community <strong>Substance</strong> <strong>Abuse</strong> <strong>and</strong> <strong>Mental</strong> <strong>Health</strong><br />
Program Certification Directory<br />
By Provider Name & Certification Number<br />
Initial Certification/<br />
Certification Effective/<br />
Certification Expires<br />
12/01/1987<br />
12/01/2011<br />
11/30/2012<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Day Treatment DHS 75.12<br />
CSAS-Outpatient Treatment DHS 75.13<br />
1379<br />
GENESIS SHEBOYGAN RESIDENTIAL PROGRAM<br />
GINA SINGLETERY<br />
503 E. WISCONSIN AVENUE<br />
SHEBOYGAN, WI 53081<br />
County: Sheboygan<br />
gs<strong>in</strong>gletery@corizonhealth.com<br />
Phone: (920) 457-7802<br />
Fax: (920) 457-7947<br />
Surveyor: William Goehr<strong>in</strong>g<br />
Services<br />
STATE OF WISCONSIN<br />
Bureau of <strong>Health</strong> Services<br />
PO Box 2969<br />
Madison, WI 53701-2969<br />
Tier/<br />
Branch Beg<strong>in</strong>/<br />
Branch Location(s) End Dates<br />
GENESIS MILW OUTPATIENT CLINIC<br />
SOUTHSIDE<br />
1673 S 9TH STREET, LOWER LEVEL<br />
MILWAUKEE, WI 53204<br />
Tier 1<br />
06/11/2012<br />
11/30/2012<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
11/01/1991<br />
11/01/2010<br />
10/31/2012<br />
CSAS-Transitional Residential DHS 75.14<br />
2033<br />
GENESIS WOMEN'S RESIDENTIAL PROGRAM<br />
GINA SINGLETERY<br />
5427 W. VILLARD STREET<br />
MILWAUKEE, WI 53218<br />
County: Milwaukee<br />
g<strong>in</strong>a.s<strong>in</strong>gletery@corizonhealth.com<br />
Phone: (414) 777-1570<br />
Fax: (414) 777-1565<br />
Surveyor: William Goehr<strong>in</strong>g<br />
Services<br />
NO BRANCH LOCATIONS<br />
12/01/2011 11/30/2012<br />
12/01/2011 11/30/2012<br />
12/01/2011 11/30/2012<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
05/15/1998<br />
06/01/2012<br />
05/31/2013<br />
CSAS-Transitional Residential DHS 75.14<br />
NO BRANCH LOCATIONS<br />
11/01/2010 10/31/2012<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
06/01/2012 05/31/2013
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