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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 120 of 335<br />

Certification Number/<br />

Certified Provider's Ma<strong>in</strong> Site/<br />

Email/Telephone<br />

2883<br />

GREENTREE COUNSELING LLC<br />

BARB HEDGES-GOETTL<br />

166 E GENEVA SQUARE<br />

LAKE GENEVA, WI 53147<br />

County: Walworth<br />

greentreecounsel<strong>in</strong>g@gmail.com<br />

Phone: (262) 249-0830<br />

Fax: (262) 249-0835<br />

Surveyor: William Rohner<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 />

10/07/2009<br />

11/01/2011<br />

10/31/2013<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

2803<br />

GRO FAMILY SERVICES<br />

GREGORY OWENS<br />

2011 W CAPITOL DRIVE<br />

MILWAUKEE, WI 53206<br />

County: Milwaukee<br />

acc_gro@yahoo.com<br />

Phone: (414) 445-1400<br />

Fax: (414) 395-4716<br />

Surveyor: Demetrius Anderson<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 />

NO BRANCH LOCATIONS<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

08/28/2008<br />

08/01/2011<br />

07/31/2013<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 />

2101<br />

GUEST HOUSE COUNSELING CLINIC<br />

ANDREW MUSGRAVE<br />

1216 N. 13TH STREET<br />

MILWAUKEE, WI 53205<br />

County: Milwaukee<br />

<strong>and</strong>rew.musgrave@guesthouseofmilwaukee.org<br />

Phone: (414) 345-3240<br />

Fax: (414) 345-3258<br />

Surveyor: William Goehr<strong>in</strong>g<br />

Services<br />

NO BRANCH LOCATIONS<br />

11/01/2011 10/31/2013<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

07/15/1992<br />

08/01/2011<br />

07/31/2013<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 />

NO BRANCH LOCATIONS<br />

08/01/2011 07/31/2013<br />

08/01/2011 07/31/2013<br />

08/01/2011 07/31/2013<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

08/01/2011 07/31/2013<br />

08/01/2011 07/31/2013<br />

08/01/2011 07/31/2013

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