29.12.2012 Views

Mental Health and Substance Abuse Programs in alphabetical

Mental Health and Substance Abuse Programs in alphabetical

Mental Health and Substance Abuse Programs in alphabetical

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

DEPARTMENT OF HEALTH SERVICES<br />

Division of Quality Assurance<br />

Pr<strong>in</strong>t Date: 08/28/2012<br />

Page 235 of 335<br />

Certification Number/<br />

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

Email/Telephone<br />

1728<br />

PASTORAL COUNSELING SERVICE OF THE<br />

GREATER MILWAUKEE AREA<br />

STEVEN FRINGER<br />

2825 N. MAYFAIR ROAD STE 101<br />

WAUWATOSA, WI 53222<br />

County: Milwaukee<br />

pcs-counsel<strong>in</strong>g@wi.twcbc.com<br />

Phone: (414) 453-6960<br />

Fax: (414) 453-7080<br />

Surveyor: William Goehr<strong>in</strong>g<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 />

08/07/1995<br />

08/01/2012<br />

07/31/2014<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

1910<br />

PATHFINDERS MILWAUKEE, INC<br />

CATHY ARNEY<br />

4200 N HOLTON STREET, #400<br />

MILWAUKEE, WI 53212<br />

County: Milwaukee<br />

carney@pathf<strong>in</strong>dersmke.org<br />

Phone: (414) 964-2565<br />

Fax: (414) 964-0102<br />

Surveyor: William Goehr<strong>in</strong>g<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 />

PASTORAL COUNSELING SERV OF<br />

GREATER MILW<br />

745 MAIN STREET<br />

RACINE, WI 53403<br />

PASTORAL COUNSELING SERV OF<br />

GREATER MILW AREA<br />

4465 N OAKLAND AVENUE<br />

SHOREWOOD, WI 53211<br />

Tier 1<br />

08/01/2012<br />

07/31/2014<br />

Tier 1<br />

08/01/2012<br />

07/31/2014<br />

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

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

04/01/2011<br />

06/01/2012<br />

05/31/2014<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

1729<br />

PATHWAY CLINIC, S.C.<br />

SANDRA JENSEN<br />

560 - 4TH STREET<br />

PRAIRIE DU SAC, WI 53578<br />

County: Sauk<br />

sjensen@pathwaycl<strong>in</strong>ic.com<br />

Phone: (608) 643-3663<br />

Fax: (608) 643-5014<br />

Surveyor: William Rohner<br />

Services<br />

NO BRANCH LOCATIONS<br />

08/01/2012 07/31/2014<br />

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

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

09/01/1984<br />

01/01/2012<br />

12/31/2012<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 />

06/01/2012 05/31/2014<br />

PATHWAY CLINIC SC Tier 1<br />

436 SUNRISE DR<br />

01/01/2012<br />

SPRING GREEN, WI 53588<br />

12/31/2012<br />

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

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

01/01/2012 12/31/2012<br />

01/01/2012 12/31/2012<br />

01/01/2012 12/31/2012<br />

01/01/2012 12/31/2012

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!