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 232 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2566 OSWALD COUNSELING ASSOCIATES LYNNE OSWALD 2450 VINEYARD DRIVE PLOVER, WI 54467 County: Portage ocainc@sbcglobal.net Phone: (715) 342-0290 Fax: (715) 342-0291 Surveyor: Bradley Jahr Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 01/14/2005 01/01/2012 12/31/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1724 OUTAGAMIE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES BRIAN BEZIER, PSYD 401 S. ELM STREET APPLETON, WI 54911 County: Outagamie humansvc@co.outagamie.wi.us Phone: (920) 832-5270 Fax: (920) 832-5488 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 07/01/1987 12/01/2011 11/30/2013 Mental Health Outpatient Clinic DHS 35 Mental Health-Emergency Service 3 DHS 34.3 2314 OUTAGAMIE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES CSP ROSEMARY DAVIS 401 S. ELM STREET APPLETON, WI 54911 County: Outagamie rosemary.davis@outagamie.org Phone: (920) 832-5270 Fax: (920) 832-5488 Surveyor: Frank Bellaire Services NO BRANCH LOCATIONS 01/01/2012 12/31/2013 01/01/2012 12/31/2013 Administrative Code Chapter Service Begin/End Dates 07/01/1987 07/01/2012 06/30/2014 Mental Health-Community Support Program DHS 63 NO BRANCH LOCATIONS 12/01/2011 11/30/2013 12/01/2011 11/30/2013 Administrative Code Chapter Service Begin/End Dates 07/01/2012 06/30/2014
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 233 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2590 OUTAGAMIE COUNTY HEALTH AND HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVCIES JUDY VAN RYZIN 401 S. ELM STREET APPLETON, WI 54911 County: Outagamie vanryzjm@co.outagamie.wi.us Phone: (920) 832-5270 Fax: (920) 832-5488 Surveyor: Demetrius Anderson Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 04/01/2005 04/01/2011 03/31/2013 Comprehensive Community Services (CCS) DHS 36 2246 OUTREACH COMMUNITY HEALTH CENTERS, INC. MICHAEL BAUER 210 W. CAPITOL DRIVE MILWAUKEE, WI 53212 County: Milwaukee MichaelB@orchc-milw.org Phone: (414) 727-6320 Fax: (414) 727-6321 Surveyor: Demetrius Anderson 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 08/01/2000 08/01/2012 07/31/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 2743 PALMER COUNSELING, LLC JEFF PALMER 1039 W MASON STREET GREEN BAY, WI 54311 County: Brown palmercounseling@hotmail.com Phone: (920) 965-7725 Fax: (920) 496-7922 Surveyor: Frank Bellaire Services OUTREACH COMMUNITY HEALTH CENTER 711 W CAPITOL DRIVE MILWAUKEE, WI 53206 04/01/2011 03/31/2013 Tier 1 08/01/2012 07/31/2014 Administrative Code Chapter Service Begin/End Dates 07/06/2007 08/01/2008 07/31/2010 Mental Health-Outpatient DHS 61.91 NO BRANCH LOCATIONS 08/01/2012 07/31/2014 08/01/2012 07/31/2014 Administrative Code Chapter Service Begin/End Dates 08/01/2008 07/31/2010
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