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 148 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1014 KARE CENTER JEANNINE M FIELD 510 - 60TH STREET KENOSHA, WI 53140 County: Kenosha jfield@khds.org Phone: (262) 654-3586 Fax: (262) 653-2080 Surveyor: Mark Isaacs Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 10/10/1987 08/01/2012 07/31/2014 CSAS-Residential Intoxication Monitoring DHS 75.09 2601 KAREN CARNABUCCI COMPANIONS IN HEALING KAREN CARNABUCCI 932 LAKE AVENUE RACINE, WI 53403 County: Racine karenc@wi.rr.com Phone: (262) 633-2645 Fax: No Number Provided Surveyor: Mark Isaacs 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 08/01/2005 08/01/2008 07/31/2010 Mental Health-Outpatient DHS 61.91 1458 KATHLEEN BAHLER & ASSOCIATES KATHLEEN BAHLER 315 S. JEFFERSON STREET GREEN BAY, WI 54301 County: Brown Kathleen@kathleenbahler.com Phone: (920) 435-1188 Fax: (920) 435-0276 Surveyor: Frank Bellaire Services NO BRANCH LOCATIONS 08/01/2012 07/31/2014 Administrative Code Chapter Service Begin/End Dates 01/01/1988 01/01/2009 12/31/2010 Mental Health-Outpatient DHS 61.91 NO BRANCH LOCATIONS 08/01/2008 07/31/2010 Administrative Code Chapter Service Begin/End Dates 01/01/2009 12/31/2010
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 149 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2589 KENOSHA COUNTY DEPARTMENT OF HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES GERALD A THEIS, LCSW 5407 8TH AVENUE KENOSHA, WI 53140 County: Kenosha jtheis@co.kenosha.wi.us Phone: (262) 697-6524 Fax: (262) 697-4655 Surveyor: Mark Isaacs Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 05/01/2005 05/01/2011 04/30/2013 Comprehensive Community Services (CCS) DHS 36 2897 KENOSHA HUMAN DEVELOPMENT SERVICES, INC COMMUNITY SUPPORT PROGRAM LISA A HAEN, MS 5407 - 8TH AVENUE KENOSHA, WI 53140 County: Kenosha khds@khds.com Phone: (262) 657-7188 Fax: (262) 653-2080 Surveyor: Mark Isaacs 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 01/01/2010 01/01/2011 12/31/2012 Mental Health-Community Support Program DHS 63 1460 KENOSHA HUMAN DEVELOPMENT SERVICES, INC. KARI FOSS 5407 - 8TH AVENUE KENOSHA, WI 53140 County: Kenosha kfoss@khds.org Phone: (262) 657-7188 Fax: (262) 653-2080 Surveyor: Mark Isaacs Services NO BRANCH LOCATIONS 05/01/2011 04/30/2013 Administrative Code Chapter Service Begin/End Dates 02/01/1977 04/01/2012 03/31/2014 Mental Health-Emergency Service 3 DHS 34.3 NO BRANCH LOCATIONS 01/01/2011 12/31/2012 Administrative Code Chapter Service Begin/End Dates 04/01/2012 03/31/2014
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