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 192 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1603 MENTAL HEALTH RESOURCES SUSAN A BROWN PHD 402 GAMMON PLACE, #290 MADISON, WI 53719 County: Dane DrsBrown@tds.net Phone: (608) 833-9770 Fax: (608) 833-1197 Surveyor: William Rohner Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 04/01/1990 04/01/2011 03/31/2013 Mental Health Outpatient Clinic DHS 35 1606 MENTAL HEALTH SOLUTIONS, SC DAVID GOLDFOOT PHD 7633 GANSER WAY, #204 MADISON, WI 53719 County: Dane mhsinfo@mhsolutions.com Phone: (608) 829-1800 Fax: (608) 829-1885 Surveyor: William Rohner 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 01/01/1995 01/01/2012 12/31/2012 Mental Health Outpatient Clinic DHS 35 1613 MERCY COUNSELING SERVICES TINA LECHNIR 515 S. WASHBURN STREET, #104 OSHKOSH, WI 54904 County: Winnebago tlechnir@affinityhealth.org Phone: (920) 236-8570 Fax: (920) 236-8591 Surveyor: Frank Bellaire Services NO BRANCH LOCATIONS 04/01/2011 03/31/2013 Administrative Code Chapter Service Begin/End Dates 02/01/1995 09/01/2012 08/31/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 NO BRANCH LOCATIONS 01/01/2012 12/31/2012 Administrative Code Chapter Service Begin/End Dates 09/01/2012 08/31/2014 09/01/2012 08/31/2014
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 193 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1608 MERCY MEDICAL CENTER TINA LECHNIR 500 S. OAKWOOD ROAD OSHKOSH, WI 54904 County: Winnebago tlechnir@affinityhealth.org Phone: (920) 223-3400 Fax: (920) 223-3404 Surveyor: Frank Bellaire Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 02/01/1982 09/01/2012 08/31/2014 Mental Health-Inpatient DHS 61.71 1612 MERCY OPTIONS - MERCY HEALTH SYSTEMS ANN BUNNELL 1000 MINERAL POINT ROAD JANESVILLE, WI 53548 County: Rock abunnell@mhsjvl.org Phone: (608) 756-6545 Fax: (608) 756-6564 Surveyor: William Rohner 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 10/01/1984 07/01/2011 06/30/2013 CSAS-Day Treatment DHS 75.12 CSAS-Medically Managed Inpatient Detox DHS 75.06 Mental Health-Day Treatment DHS 61.75 Mental Health-Inpatient DHS 61.71 NO BRANCH LOCATIONS 09/01/2012 08/31/2014 Administrative Code Chapter Service Begin/End Dates 07/01/2011 06/30/2013 07/01/2011 06/30/2013 07/01/2011 06/30/2013 07/01/2011 06/30/2013
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