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 147 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1452<br />
JUNEAU COUNTY DEPARTMENT OF HUMAN<br />
SERVICES-COMMUNITY SUPPORT PROGRAM<br />
MARY JO ONSAGER<br />
220 E. LACROSSE STREET<br />
MAUSTON, WI 53948<br />
County: Juneau<br />
monsager@co.juneau.wi.us<br />
Phone: (608) 847-2400<br />
Fax: (608) 847-9421<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 />
01/01/1989<br />
12/01/2011<br />
11/30/2013<br />
<strong>Mental</strong> <strong>Health</strong>-Community Support Program DHS 63<br />
2486<br />
JUVENILE ASSESSMENT AND TREATMENT<br />
CENTER, LLC<br />
LORRIE ROLLER<br />
2453 ATWOOD AVENUE, #102<br />
MADISON, WI 53704<br />
County: Dane<br />
roller.jatc@sbcglobal.net<br />
Phone: (608) 242-8780<br />
Fax: (608) 242-8790<br />
Surveyor: William Rohner<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 />
12/01/2003<br />
12/01/2010<br />
11/30/2012<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
<strong>Mental</strong> <strong>Health</strong>-Outpatient DHS 61.91<br />
1454<br />
KA'NI KUHLI'YO FAMILY CENTER<br />
MARI KRIESCHER<br />
2640 WEST POINT ROAD<br />
GREEN BAY, WI 54303<br />
County: Brown<br />
mkriesch@oneidanation.org<br />
Phone: (920) 490-3737<br />
Fax: (920) 490-3858<br />
Surveyor: Frank Bellaire<br />
Services<br />
NO BRANCH LOCATIONS<br />
12/01/2011 11/30/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
03/11/1993<br />
02/01/2011<br />
01/31/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
01/01/2011 11/30/2012<br />
12/01/2010 12/31/2010<br />
ONEIDA COMMUNITY HEALTH CENTER Tier 1<br />
525 AIRPORT DRIVE, PO BOX 365<br />
02/01/2011<br />
ONEIDA, WI 54155<br />
01/31/2013<br />
SEYMOUR SCHOOL SYSTEM Tier 1<br />
10 CIRCLE DRIVE<br />
02/01/2011<br />
SEYMOUR, WI 54165<br />
01/31/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
02/01/2011 01/31/2013<br />
02/01/2011 01/31/2013
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