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 134 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1427<br />
HUMAN SERVICE CENTER - NORTHWOODS<br />
GUIDANCE CENTER<br />
DONNA SCHIMECK<br />
705 EAST TIMBER DRIVE<br />
RHINELANDER, WI 54501<br />
County: Oneida<br />
ds@thehumanservicecenter.org<br />
Phone: (715) 369-2215<br />
Fax: (715) 369-2214<br />
Surveyor: Bradley Jahr<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 />
09/01/1980<br />
10/01/2011<br />
09/30/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic with Telehealth DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
CSAS-Outpatient Treatment with Telehealth DHS 75.13<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 DHS 34.3<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 w/Telehealth DHS 34.3<br />
2827<br />
HUMAN SERVICE CTR - NORTHWOODS GUIDANCE<br />
CTR TRI-CO COMPREHENSIVE COMM SVS<br />
DONNA SHIMECK<br />
705 E TIMBER DRIVE<br />
RHINELANDER, WI 54501<br />
County: Oneida<br />
ds@thehumanservicecenter.org<br />
Phone: (715) 369-2215<br />
Fax: (715) 369-2214<br />
Surveyor: Bradley Jahr<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 />
HUMAN SERVICE CTR-NORTHWOODS<br />
GUIDANCE<br />
1991 WINNEBAGO STREET<br />
RHINELANDER, WI 54501<br />
Tier 1<br />
10/01/2011<br />
09/30/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
06/01/2009<br />
06/01/2011<br />
05/31/2013<br />
Comprehensive Community Services with Telehealth DHS 36<br />
Comprehensive Community Services (CCS) DHS 36<br />
1429<br />
ICF CONSULTANTS, INC.<br />
MARILYN BONJEAN<br />
1524 N. FARWELL AVENUE<br />
MILWAUKEE, WI 53202<br />
County: Milwaukee<br />
icfconsultants.com<br />
Phone: (414) 273-2220<br />
Fax: (414) 273-2223<br />
Surveyor: Demetrius Anderson<br />
Services<br />
NO BRANCH LOCATIONS<br />
10/01/2011 09/30/2013<br />
10/01/2011 09/30/2013<br />
10/01/2011 09/30/2013<br />
10/01/2011 09/30/2013<br />
10/01/2011 09/30/2013<br />
10/01/2011 09/30/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
10/01/1988<br />
11/01/2009<br />
10/31/2011<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
06/01/2011 05/31/2013<br />
06/01/2011 05/31/2013<br />
ICF CONSULTANTS INC Tier 1<br />
700 PILGRIM PARKWAY<br />
11/01/2009<br />
ELM GROVE, WI 53122<br />
10/31/2011<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
11/01/2009 10/31/2011
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