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 246 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1751 PROJECT ACCESS, INC. CSP C ROGER ZHONG 823 S 60TH STREET MILWAUKEE, WI 53214 County: Milwaukee projectaccessinc@yahoo.com Phone: (414) 456-1155 Fax: (414) 456-1655 Surveyor: Demetrius Anderson Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 12/20/1995 03/01/2011 02/28/2013 Mental Health-Community Support Program DHS 63 2942 PROMISES COUNSELING SERVICES LLC RISA L. JANOWSKI 2701 LARSEN RD GREEN BAY, WI 54303 County: Brown promisescounseling@gmail.com Phone: (920) 593-8040 Fax: (920) 593-8041 Surveyor: William Goehring 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 04/25/2011 06/06/2011 05/31/2012 Mental Health Outpatient Clinic DHS 35 1445 PSYCARE-MILWAUKEE LLC THOMAS A GARLAND 633 W. WISCONSIN AVENUE, #1810 MILWAUKEE, WI 53203 County: Milwaukee psycaremilwaukee@aol.com Phone: (414) 271-3322 Fax: (414) 271-2335 Surveyor: William Goehring Services NO BRANCH LOCATIONS 03/01/2011 02/28/2013 Administrative Code Chapter Service Begin/End Dates 06/01/1982 05/01/2012 04/30/2014 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 06/06/2011 05/31/2012 Administrative Code Chapter Service Begin/End Dates 05/01/2012 04/30/2014
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 247 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1752 PSYCHIATRIC AND PSYCHOTHERAPY CLINIC PAUL DEFAZIO 3601 - 30TH AVENUE, #102 KENOSHA, WI 53144 County: Kenosha No Email Address Provided Phone: (262) 654-0487 Fax: (262) 654-2434 Surveyor: Mark Isaacs Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 06/01/1980 05/01/2012 04/30/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1754 PSYCHIATRIC ASSOCIATES COUNSELING CENTER, LLC JULIE NOTH 122 W SOUTH STREET VIROQUA, WI 54665 County: Vernon JCN1@mwt.net Phone: (608) 637-2511 Fax: (608) 637-7921 Surveyor: Cynthia Lindgren 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 08/01/1987 06/01/2012 05/31/2014 Mental Health Outpatient Clinic DHS 35 1757 PSYCHIATRIC SERVICES OF RACINE LLP PENNY ROGINSKI 1244 WISCONSIN AVENUE, #303 RACINE, WI 53403 County: Racine bompsychservices@tds.net Phone: (262) 635-5520 Fax: (262) 635-5530 Surveyor: Mark Isaacs Services NO BRANCH LOCATIONS 05/01/2012 04/30/2014 05/01/2012 04/30/2014 Administrative Code Chapter Service Begin/End Dates 05/01/1988 11/01/2011 10/31/2012 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 06/01/2012 05/31/2014 Administrative Code Chapter Service Begin/End Dates 11/01/2011 10/31/2012
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