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 13 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1023<br />
ALCOCARE, INC NEW DAWN RESIDENTIAL<br />
TREATMENT<br />
THOMAS BOLAN<br />
786 S MAIN STREET<br />
JANESVILLE, WI 53548<br />
County: Rock<br />
alcocare@att.net<br />
Phone: (608) 754-6800<br />
Fax: (608) 754-2651<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 />
09/16/1994<br />
05/01/2011<br />
04/30/2013<br />
CSAS-Medically Monitored Treatment DHS 75.11<br />
2512<br />
ALL-AREA COUNSELING SERVICES-A DIVISION OF<br />
OPTIONS TREATMENT PROGRAMS, INC<br />
KIMEKO HAGEN<br />
719 W MAIN STREET<br />
WAUTOMA, WI 54982<br />
County: Waushara<br />
khagen@optionstx.com<br />
Phone: (920) 787-7472<br />
Fax: (920) 787-5458<br />
Surveyor: Frank Bellaire<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 />
04/01/2004<br />
04/01/2012<br />
03/31/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
2134<br />
ALLIANCE COUNSELING CENTER<br />
GERALD FLANAGAN<br />
300 COTTONWOOD AVENUE, #4<br />
HARTLAND, WI 53029<br />
County: Waukesha<br />
alliance-jf@sbcglobal.net<br />
Phone: (262) 896-0905<br />
Fax: (262) 781-6603<br />
Surveyor: Mark Isaacs<br />
Services<br />
OPTIONS TREATMENT<br />
PROGRAMS-OSHKOSH<br />
502 E. NEW YORK AVE.<br />
OSHKOSH, WI 54901<br />
05/01/2011 04/30/2013<br />
Tier 2<br />
08/01/2012<br />
03/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
08/06/1999<br />
02/01/2012<br />
01/31/2013<br />
CSAS-Outpatient Treatment DHS 75.13<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014<br />
ALLIANCE COUNSELING CENTER Tier 1<br />
2312 N GRANDVIEW BOULEVARD, #103 02/01/2012<br />
WAUKESHA, WI 53188<br />
01/31/2013<br />
ALLIANCE COUNSELING CENTER Tier 1<br />
N91 W17194 APPLETON AVE, #105<br />
02/01/2012<br />
MENOMONEE FALLS, WI 53051<br />
01/31/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
02/01/2012 01/31/2013
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