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 179 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1562<br />
MARRIAGE AND FAMILY HEALTH SERVICES, LTD.<br />
THOMAS JOHNSTON<br />
2925 MONDOVI ROAD<br />
EAU CLAIRE, WI 54701<br />
County: Eau Claire<br />
ecmikan@sbcglobal.net<br />
Phone: (715) 832-0238<br />
Fax: (715) 832-0771<br />
Surveyor: Polly Wong<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 />
09/01/1983<br />
05/01/2012<br />
04/30/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<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 />
MARRIAGE & FAMILY HEALTH SVS Tier 1<br />
104 WEST WASHINGTON AVE<br />
09/02/2012<br />
BRUCE, WI 54819<br />
04/30/2014<br />
MARRIAGE & FAMILY HEALTH SVS Tier 1<br />
604 7TH AVE EAST<br />
05/01/2012<br />
DURAND, WI 54736<br />
04/30/2014<br />
MARRIAGE & FAMILY HEALTH SVS Tier 1<br />
1700 EDGEWOOD AVE EAST<br />
05/01/2012<br />
LADYSMITH, WI 54848<br />
04/30/2014<br />
MARRIAGE & FAMILY HEALTH SVS Tier 1<br />
500 MAIN ST<br />
05/01/2012<br />
EAU CLAIRE, WI 54701<br />
04/30/2014<br />
MARRIAGE & FAMILY HEALTH SVS Tier 1<br />
1130 MILES ST<br />
05/01/2012<br />
CHIPPEWA FALLS, WI 54729<br />
04/30/2014<br />
MARRIAGE & FAMILY HEALTH SVS Tier 1<br />
W21772 US HWY 10<br />
05/01/2012<br />
STRUM, WI 54770<br />
04/30/2014<br />
MARRIAGE AND FAMILY HEALTH<br />
SERVICES LTD<br />
Tier 1<br />
905 - 7TH AVE WEST<br />
05/01/2012<br />
DURAND, WI 54736<br />
04/30/2014<br />
MARRIAGE AND FAMILY HEALTH<br />
SERVICES LTD<br />
Tier 1<br />
250 BUFFALO STREET<br />
05/01/2012<br />
MONDOVI, WI 54755<br />
04/30/2014<br />
MARRIAGE AND FAMILY HEALTH<br />
SERVICES, LTD<br />
Tier 1<br />
1301 COULEE ROAD<br />
05/01/2012<br />
HUDSON, WI 54016<br />
04/30/2014<br />
MARRIAGE AND FAMILY HEALTH<br />
SERVICES, LTD<br />
Tier 1<br />
612 E WARDEN AVENUE<br />
05/01/2012<br />
LADYSMITH, WI 54848<br />
04/30/2014<br />
MARRIAGE AND FAMILY HEALTH<br />
SERVICES, LTD.<br />
Tier 1<br />
P O BOX 517407 S 2ND STREET<br />
05/01/2012<br />
ALMA, WI 54610<br />
04/30/2014<br />
MARRIAGE AND FAMILY HEALTH<br />
SERVICES, LTD.<br />
Tier 1<br />
1109 HEART ISLAND PARKWAY<br />
05/01/2012<br />
RICE LAKE, WI 54868<br />
04/30/2014<br />
MARRIAGE AND FAMILY HEALTH<br />
SERVICES, LTD.<br />
Tier 1<br />
132 W COLUMBIA STREET<br />
05/01/2012<br />
CHIPPEWA FALLS, WI 54729<br />
04/30/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
05/01/2012 04/30/2014
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