Mental Health and Substance Abuse Programs in alphabetical

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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 132 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1774 HOPE HAVEN/REBOS UNITED, INC. - CHRIS FARLEY HOUSE BRUCE NICHOLAS 810 W. OLIN AVENUE MADISON, WI 53715 County: Dane b.nicholashh@gmail.com Phone: (608) 255-5922 Fax: (608) 255-0340 Surveyor: William Rohner Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 10/01/1993 12/01/2010 11/30/2012 CSAS-Outpatient Treatment DHS 75.13 CSAS-Transitional Residential DHS 75.14 2366 HOWARD JANSEN DAY TREATMENT 2 LISA SCHON 5151 W SILVER SPRING DRIVE MILWAUKEE, WI 53218 County: Milwaukee No Email Address Provided Phone: (414) 527-6970 Fax: (414) 527-6971 Surveyor: Demetrius Anderson Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 04/03/2002 04/01/2010 03/31/2012 Mental Health-Day Treatment for Children 2 DHS 40.11(2)(b) 1421 HOWARD JANSEN MENTAL HEALTH DAY TREATMENT PROGRAM LISA SHON 3903 W. LISBON AVENUE MILWAUKEE, WI 53208 County: Milwaukee No Email Address Provided Phone: (414) 342-2060 Fax: (414) 342-3663 Surveyor: William Goehring Services NO BRANCH LOCATIONS 12/01/2010 11/30/2012 12/01/2010 11/30/2012 Administrative Code Chapter Service Begin/End Dates 02/24/1997 03/01/2011 02/28/2013 Mental Health-Day Treatment for Children 2 DHS 40.11(2)(b) NO BRANCH LOCATIONS 04/01/2010 03/31/2012 Administrative Code Chapter Service Begin/End Dates 03/01/2011 02/28/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 133 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1173 HUDSON HOSPITAL, PROGRAMS FOR CHANGE PETER VAN DUSARTZ 901 DOMINION DRIVE HUDSON, WI 54016 County: Saint Croix Peter.J.Vandusartz@HudsonHospital.org Phone: (715) 531-6752 Fax: (715) 531-6766 Surveyor: Polly Wong Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 09/01/1990 12/01/2011 11/30/2013 CSAS-Outpatient Treatment DHS 75.13 2312 HUMAN DEVELOPMENT CENTER MENTAL HEALTH CENTER COMMUNITY SUPPORT PROGRAM STEVE ENGLESON 1500 N 34TH STREET, #200 SUPERIOR, WI 54880 County: Douglas steve.engleson@hdchrc.org Phone: (715) 392-8216 Fax: (715) 392-6055 Surveyor: Bradley Jahr Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 12/01/1982 07/01/2012 06/30/2014 Mental Health-Community Support Program DHS 63 1423 HUMAN DEVELOPMENT CENTER MENTAL HEALTH CENTER BETSY BYLER 1500 N 34TH STREET, #200 SUPERIOR, WI 54880 County: Douglas betsy.byler@hdchrc.org Phone: (715) 392-8216 Fax: (715) 392-6055 Surveyor: Bradley Jahr Services NO BRANCH LOCATIONS 12/01/2011 11/30/2013 Administrative Code Chapter Service Begin/End Dates 12/01/1982 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 Mental Health-Emergency Service 2 DHS 34.2 NO BRANCH LOCATIONS 07/01/2012 06/30/2014 Administrative Code Chapter Service Begin/End Dates 07/01/2012 06/30/2014 07/01/2012 06/30/2014 07/01/2012 06/30/2014
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Mental Health and Substance Abuse Programs in alphabetical

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