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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 257 of 335<br />

Certification Number/<br />

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

Email/Telephone<br />

2919<br />

RELEVANCE COUNSELING SERVICES<br />

ROSIE MALDONADO<br />

3635 W OKLAHOMA AVENUE<br />

MILWAUKEE, WI 53215<br />

County: Milwaukee<br />

relevancecounsel<strong>in</strong>gservices@juno.com<br />

Phone: (414) 384-6777<br />

Fax: (414) 384-8001<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 />

07/29/2010<br />

07/01/2012<br />

06/30/2014<br />

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

1792<br />

RENEW COUNSELING SERVICES<br />

WAYNE CROATT<br />

1225 W. MITCHELL STREET, #223<br />

MILWAUKEE, WI 53204<br />

County: Milwaukee<br />

renewcounsel<strong>in</strong>g1@sbcglobal.net<br />

Phone: (414) 383-4455<br />

Fax: (414) 433-0171<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 />

NO BRANCH LOCATIONS<br />

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

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

04/01/1985<br />

09/01/2011<br />

08/31/2012<br />

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

CSAS-Outpatient Treatment DHS 75.13<br />

1797<br />

RICHLAND COUNTY HEALTH & HUMAN SERVICES<br />

TRACY THORSEN<br />

221 W SEMINARY STREET<br />

RICHLAND CENTER, WI 53581<br />

County: Richl<strong>and</strong><br />

thorsent@co.richl<strong>and</strong>.wi.us<br />

Phone: (608) 647-8821<br />

Fax: (608) 647-6611<br />

Surveyor: Cynthia L<strong>in</strong>dgren<br />

Services<br />

NO BRANCH LOCATIONS<br />

07/01/2012 06/30/2014<br />

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

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

01/01/1988<br />

02/01/2012<br />

01/31/2014<br />

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

CSAS-Emergency Outpatient DHS 75.05<br />

CSAS-Outpatient Treatment DHS 75.13<br />

<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 DHS 34.3<br />

NO BRANCH LOCATIONS<br />

09/01/2011 08/31/2012<br />

09/01/2011 08/31/2012<br />

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

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

02/01/2012 01/31/2014<br />

02/01/2012 01/31/2014<br />

02/01/2012 01/31/2014<br />

02/01/2012 01/31/2014

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