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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 175 of 335<br />

Certification Number/<br />

Certified Provider's Ma<strong>in</strong> Site/<br />

Email/Telephone<br />

2711<br />

MANITOWOC COUNTY HUMAN SERVICES DEPT<br />

COMPREHENSIVE COMMUNITY SERVICES<br />

DAVID SCHIBLINE<br />

926 S. 8TH STREET<br />

MANITOWOC, WI 54221<br />

County: Manitowoc<br />

davidschibl<strong>in</strong>e@co.manitowoc.wi.us<br />

Phone: (920) 683-4230<br />

Fax: (920) 683-4243<br />

Surveyor: Frank Bellaire<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 />

02/06/2007<br />

03/01/2011<br />

02/28/2013<br />

Comprehensive Community Services (CCS) DHS 36<br />

1556<br />

MANOS, SMITH AND ASSOCIATES<br />

DAVID SMITH<br />

407 PILOT COURT, #400<br />

WAUKESHA, WI 53188<br />

County: Waukesha<br />

thethotdoctor@gmail.com<br />

Phone: (262) 524-9822<br />

Fax: (262) 832-0089<br />

Surveyor: Mark Isaacs<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 />

09/01/1990<br />

10/01/2011<br />

09/30/2013<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

2697<br />

MAPLEGROVE TREATMENT CENTER<br />

TIM KABARA<br />

1827 RIVER LAKES RD S<br />

OCONOMOWOC, WI 53066<br />

County: Waukesha<br />

timkabara@yahoo.com<br />

Phone: (262) 510-4447<br />

Fax: (262) 200-2808<br />

Surveyor: Mark Isaacs<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 />

11/28/2006<br />

12/01/2009<br />

11/30/2011<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

NO BRANCH LOCATIONS<br />

10/01/2011 09/30/2013<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

12/01/2009 11/30/2011

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