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 154 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2367 LA CAUSA, INC. CHYRA TROST 1212 S 70TH ST #115A WEST ALLIS, WI 53214 County: Milwaukee chyrat@lacausa.org Phone: (414) 902-1551 Fax: (414) 771-7497 Surveyor: Demetrius Anderson Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 04/22/2002 05/01/2011 04/30/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 2594 LA CROSSE COUNTY HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES MATT STRITTMATER 300 N FOURTH STREET, NORTH LA CROSSE, WI 54601 County: La Crosse mstrittmater@lacrossecounty.org Phone: (608) 785-6156 Fax: (608) 785-6133 Surveyor: Polly Wong 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 07/20/2005 08/01/2011 07/31/2013 Comprehensive Community Services (CCS) DHS 36 1488 LA CROSSE COUNTY HUMAN SERVICES JENNIFER TIMM 300 N. 4TH STREET LA CROSSE, WI 54601 County: La Crosse jtimm@lacrossecounty.org Phone: (608) 785-6113 Fax: (608) 785-6133 Surveyor: Polly Wong Services NO BRANCH LOCATIONS 05/01/2011 04/30/2013 05/01/2011 04/30/2013 Administrative Code Chapter Service Begin/End Dates 02/01/1978 05/01/2012 04/30/2014 Mental Health Outpatient Clinic DHS 35 Mental Health Outpatient Clinic with Telehealth DHS 35 Mental Health-Emergency Service 3 DHS 34.3 CRISIS ASSESSMENT RECOVERY EMPOWERMENT 4647 MORMON COULEE ROAD LA CROSSE, WI 54601 08/01/2011 07/31/2013 Tier 1 05/01/2012 04/30/2014 Administrative Code Chapter Service Begin/End Dates 05/01/2012 04/30/2014 05/01/2012 04/30/2014 05/01/2012 04/30/2014
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 155 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2935 LA CROSSE COUNTY HUMAN SERVICES BECKY SPANJERS 333 VINE STREET, ROOM 740 LA CROSSE, WI 54601 County: La Crosse spanjers.becky@co.la-crosse.wi.us Phone: (608) 789-4895 Fax: (608) 785-6562 Surveyor: Polly Wong Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 01/19/2011 05/01/2012 04/30/2014 CSAS-Outpatient Treatment DHS 75.13 1486 LAC COURTE ORIELLES COMMUNITY HEALTH CENTER JULIE YAEKEL-BLACK ELK 13380 W. TREPANIA ROAD HAYWARD, WI 54843 County: Sawyer jblackelk@lcohc.com Phone: (715) 638-5124 Fax: (715) 634-6107 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 03/01/1987 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Day Treatment DHS 75.12 CSAS-Outpatient Treatment DHS 75.13 2457 LAD LAKE, INC. KARIE L LOWE 225 W CAPITOL DRIVE MILWAUKEE, WI 53212 County: Milwaukee No Email Address Provided Phone: (414) 332-2690 Fax: (414) 332-2875 Surveyor: Mark Isaacs Services NO BRANCH LOCATIONS 05/01/2012 04/30/2014 Administrative Code Chapter Service Begin/End Dates 07/01/2003 07/01/2010 06/30/2012 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 07/01/2012 06/30/2014 07/01/2012 06/30/2014 07/01/2012 06/30/2014 Administrative Code Chapter Service Begin/End Dates 07/01/2010 06/30/2012
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