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 176 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1557 MARCO SERVICES, INC. CRAIG PAULY 1114 S. 11TH STREET MANITOWOC, WI 54220 County: Manitowoc director@marcoservices.org Phone: (920) 684-0605 Fax: (920) 684-0605 Surveyor: Frank Bellaire Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 10/10/1990 10/01/2009 09/30/2011 CSAS-Transitional Residential DHS 75.14 2966 MARINETTE COUNTY HEALTH & HUMAN SERVICES CCS ELLIE JARVIE 2500 HALL AVENUE SUITE B MARINETTE, WI 54143 County: Marinette ejarvie@marinettecounty.com Phone: (715) 732-7700 Fax: (715) 732-7767 Surveyor: Frank Bellaire 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 08/01/2012 08/01/2012 07/31/2013 Comprehensive Community Services (CCS) DHS 36 2340 MARINETTE COUNTY HEALTH & HUMAN SERVICES DEPARTMENT/ADAPT CSP ROBIN ELSNER, MSW 2500 HALL AVENUE, #A MARINETTE, WI 54143 County: Marinette relsner@marinettecounty.com Phone: (715) 732-7760 Fax: (715) 732-7711 Surveyor: Frank Bellaire Services NO BRANCH LOCATIONS 10/01/2009 09/30/2011 Administrative Code Chapter Service Begin/End Dates 01/01/1982 12/01/2011 11/30/2013 Mental Health-Community Support Program DHS 63 NO BRANCH LOCATIONS 08/01/2012 07/31/2013 Administrative Code Chapter Service Begin/End Dates 12/01/2011 11/30/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 177 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1559 MARINETTE COUNTY HEALTH & HUMAN SERVICES DEPARTMENT/ADAPT ROBIN ELSNER, MSW 2500 HALL AVENUE, #A MARINETTE, WI 54143 County: Marinette rvalentine@marinettecounty.com Phone: (715) 732-7760 Fax: (715) 732-7711 Surveyor: Frank Bellaire Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 01/01/1982 12/01/2011 11/30/2013 Mental Health Outpatient Clinic DHS 35 Mental Health Outpatient Clinic with Telehealth DHS 35 CSAS-Emergency Outpatent with Telehealth DHS 75.05 CSAS-Emergency Outpatient DHS 75.05 CSAS-Outpatient Treatment DHS 75.13 CSAS-Outpatient Treatment with Telehealth DHS 75.13 Mental Health-Emergency Service 3 DHS 34.3 Mental Health-Emergency Service 3 w/Telehealth DHS 34.3 2321 MARINETTE COUNTY HEALTH AND HUMAN SERVICES/ADAPT ROBIN ELSNER 2135 PIERCE AVE MARINETTE, WI 54143 County: Marinette No Email Address Provided Phone: (715) 732-7760 Fax: (715) 732-7711 Surveyor: Frank Bellaire Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates MARINETTE COUNTY HHSD/ADAPT Tier 1 1201 JACKSON STREET 12/01/2011 NIAGARA, WI 54151 11/30/2013 Administrative Code Chapter Service Begin/End Dates 08/20/2001 12/01/2010 11/30/2012 Mental Health-Day Treatment for Children 1 DHS 40.11(2)(a) 2322 MARINETTE COUNTY HEALTH AND HUMAN SERVICES/ADAPT ROBIN ELSNER 1011 WATER STREET MARINETTE, WI 54143 County: Marinette No Email Address Provided Phone: (715) 732-7760 Fax: (715) 732-7711 Surveyor: Frank Bellaire Services NO BRANCH LOCATIONS 12/01/2011 11/30/2013 12/01/2011 11/30/2013 12/01/2011 11/30/2013 12/01/2011 11/30/2013 12/01/2011 11/30/2013 12/01/2011 11/30/2013 12/01/2011 11/30/2013 12/01/2011 11/30/2013 Administrative Code Chapter Service Begin/End Dates 08/20/2001 12/01/2010 11/30/2012 Mental Health-Day Treatment for Children 1 DHS 40.11(2)(a) NO BRANCH LOCATIONS 12/01/2010 11/30/2012 Administrative Code Chapter Service Begin/End Dates 12/01/2010 11/30/2012
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