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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 215 of 335<br />

Certification Number/<br />

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

Email/Telephone<br />

2562<br />

NORTH CENTRAL HEALTH CARE FACILITIES<br />

COMPREHENSIVE COMMUNITY SERVICES<br />

ERICA HUFFMAN<br />

1100 LAKEVIEW DRIVE<br />

WAUSAU, WI 54403<br />

County: Marathon<br />

ehuffman@norcen.org<br />

Phone: (715) 848-4322<br />

Fax: (715) 841-5146<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 />

12/01/2004<br />

01/01/2011<br />

12/31/2012<br />

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

2297<br />

NORTH CENTRAL HEALTH CARE FACILITIES CSP<br />

EAST & STURGEON POINT<br />

KEN WOLFE<br />

506 N. SIXTH STREET<br />

WAUSAU, WI 54403<br />

County: Marathon<br />

kwolfe@norcen.org<br />

Phone: (715) 843-6120<br />

Fax: (715) 848-5460<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 />

NO BRANCH LOCATIONS<br />

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

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

10/01/1975<br />

03/01/2011<br />

02/28/2013<br />

<strong>Mental</strong> <strong>Health</strong>-Community Support Program DHS 63<br />

1678<br />

NORTH CENTRAL HEALTH CARE FACILITIES<br />

LINCOLN HEALTH CARE CENTER CSP<br />

KEN WOLFE<br />

607 N. SALES STREET SUITE 309<br />

MERRILL, WI 54452<br />

County: L<strong>in</strong>coln<br />

kwolfe@norcen.org<br />

Phone: (715) 536-9482<br />

Fax: (715) 539-2972<br />

Surveyor: Bradley Jahr<br />

Services<br />

NO BRANCH LOCATIONS<br />

01/01/2011 12/31/2012<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 />

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 />

06/01/2011 05/31/2013

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