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 143 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2643<br />
JEFFERSON COUNTY HUMAN SERVICES<br />
COMPREHENSIVE COMMUNITY SERVICES<br />
KIMBERLY PROPP<br />
1541 ANNEX ROAD<br />
JEFFERSON, WI 53549<br />
County: Jefferson<br />
kimp@jeffersoncountywi.gov<br />
Phone: (920) 674-8727<br />
Fax: (920) 674-2359<br />
Surveyor: Demetrius Anderson<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 />
02/15/2006<br />
03/01/2011<br />
02/28/2013<br />
Comprehensive Community Services (CCS) DHS 36<br />
1449<br />
JEFFERSON COUNTY HUMAN SERVICES<br />
HOLLY PAGEL<br />
1541 ANNEX ROAD<br />
JEFFERSON, WI 53549<br />
County: Jefferson<br />
hollyp@jeffersoncountywi.gov<br />
Phone: (920) 674-3105<br />
Fax: (920) 674-6113<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 />
10/01/1975<br />
06/01/2012<br />
05/31/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 DHS 34.3<br />
1450<br />
JEWISH FAMILY SERVICES<br />
JAMES WELSCH<br />
1300 N. JACKSON STREET<br />
MILWAUKEE, WI 53202<br />
County: Milwaukee<br />
jwelsch@jfsmilw.org<br />
Phone: (414) 390-5899<br />
Fax: (414) 225-1346<br />
Surveyor: William Goehr<strong>in</strong>g<br />
Services<br />
NO BRANCH LOCATIONS<br />
03/01/2011 02/28/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
06/01/1979<br />
06/01/2012<br />
05/31/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
06/01/2012 05/31/2014<br />
06/01/2012 05/31/2014<br />
06/01/2012 05/31/2014<br />
JEWISH FAMILY SERVICES Tier 1<br />
5800 N BAYSHORE DRIVE<br />
06/01/2012<br />
GLENDALE, WI 53209<br />
05/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
06/01/2012 05/31/2014
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