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 214 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2316<br />
NORTH CENTRAL COUNSELING SERVICES<br />
JOSEPH ROE & ASSOC D/B/A SHIRLEY LIMBERG<br />
SHIRLEY LIMBERG<br />
8618 HIGHWAY 51 NORTH<br />
MINOCQUA, WI 54548<br />
County: Oneida<br />
slimberg3150@charter.net<br />
Phone: (715) 356-6146<br />
Fax: (715) 358-9556<br />
Surveyor: Bradley Jahr<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 />
03/01/2000<br />
04/01/2012<br />
03/31/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
2298<br />
NORTH CENTRAL HEALTH CARE<br />
CENTER/LANGLADE HEALTH CARE CENTER CSP<br />
KEITH WOLF<br />
1225 LANGLADE ROAD<br />
ANTIGO, WI 54409<br />
County: Langlade<br />
kwolfe@norcen.org<br />
Phone: (715) 627-6694<br />
Fax: (715) 627-6645<br />
Surveyor: Bradley Jahr<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 />
NCCS J ROE & ASSOC DBA SHIRLEY<br />
LIMBERG<br />
HIGHWAY 13 N<br />
PARK FALLS, WI 54552<br />
Tier 1<br />
04/01/2012<br />
03/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
03/01/1987<br />
06/01/2011<br />
05/31/2013<br />
<strong>Mental</strong> <strong>Health</strong>-Community Support Program DHS 63<br />
1676<br />
NORTH CENTRAL HEALTH CARE<br />
CENTER/LANGLADE HEALTH CARE CENTER<br />
JIM HAHN<br />
1225 LANGLADE ROAD<br />
ANTIGO, WI 54409<br />
County: Langlade<br />
jhahn@norcen.org<br />
Phone: (715) 627-6694<br />
Fax: (715) 627-6645<br />
Surveyor: Bradley Jahr<br />
Services<br />
NO BRANCH LOCATIONS<br />
04/01/2012 03/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
03/01/1987<br />
06/01/2009<br />
05/31/2011<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic with Telehealth DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
CSAS-Outpatient Treatment with Telehealth DHS 75.13<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 DHS 34.3<br />
<strong>Mental</strong> <strong>Health</strong>-Outpatient DHS 61.91<br />
NO BRANCH LOCATIONS<br />
06/01/2011 05/31/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
10/28/2009 02/28/2011<br />
10/28/2009 02/28/2011<br />
06/01/2009 02/28/2011<br />
10/28/2009 02/28/2011<br />
06/01/2009 05/31/2011<br />
06/01/2009 10/27/2009
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