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 260 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2230 RIVERWOOD COUNSELING ASSOCIATES LLC ROBERT A MILLER 1052 MAIN STREET, #202 STEVENS POINT, WI 54481 County: Portage riverwood_counseling@hotmail.com Phone: (715) 343-5256 Fax: (715) 343-5899 Surveyor: Bradley Jahr Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 07/17/2000 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1803 ROCK COUNTY HUMAN SERVICES CRISIS INTERVENTION UNIT KATHERINE FLANAGAN 3530 N. COUNTY HIGHWAY F JANESVILLE, WI 53547 County: Rock RCHSD@co.rock.wi.us Phone: (608) 757-5025 Fax: (608) 758-8426 Surveyor: William Rohner 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 01/10/1975 09/01/2012 08/31/2014 CSAS-Emergency Outpatient DHS 75.05 CSAS-Intervention DHS 75.16 Mental Health-Emergency Service 3 DHS 34.3 1804 ROCK COUNTY HUMAN SERVICES DEPARTMENT - BELOIT COMMUNITY SUPPORT PROGRAM PATRICK SINGER 64 ECLIPSE CENTER BELOIT, WI 53511 County: Rock singer@co.rock.wi.us Phone: (608) 757-5269 Fax: (608) 363-6392 Surveyor: William Rohner Services NO BRANCH LOCATIONS 07/01/2012 06/30/2014 07/01/2012 06/30/2014 Administrative Code Chapter Service Begin/End Dates 09/01/1989 05/01/2011 04/30/2013 Mental Health-Community Support Program DHS 63 NO BRANCH LOCATIONS 09/01/2012 08/31/2014 09/01/2012 08/31/2014 09/01/2012 08/31/2014 Administrative Code Chapter Service Begin/End Dates 05/01/2011 04/30/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 261 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1805 ROCK COUNTY HUMAN SERVICES DEPARTMENT - JANESVILLE COMMUNITY SUPPORT PROGRAM LISA MOORE-KELTY 113 S FRANKLIN ST JANESVILLE, WI 53548 County: Rock Kelty@co.rock.wi.us Phone: (608) 757-5172 Fax: (608) 757-5545 Surveyor: William Rohner Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 09/01/1989 05/01/2011 04/30/2013 Mental Health-Community Support Program DHS 63 1806 ROCK COUNTY HUMAN SERVICES DEPARTMENT ADOLESCENT SERVICES CENTER TERA O'CONNOR 3530 N COUNTY TRUNK HWY F JANESVILLE, WI 53545 County: Rock RCHSD@co.rock.wi.us Phone: (608) 757-5378 Fax: (608) 758-8435 Surveyor: William Rohner 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 10/01/1975 09/01/2011 08/31/2012 Mental Health Outpatient Clinic DHS 35 1808 ROCK COUNTY HUMAN SERVICES DEPARTMENT BELOIT COUNSELING CENTER KENT HUBBARD 64 ECLIPSE CENTER BELOIT, WI 53511 County: Rock RCHSD@co.rock.wi.us Phone: (608) 363-6300 Fax: (608) 363-6392 Surveyor: William Rohner Services NO BRANCH LOCATIONS 05/01/2011 04/30/2013 Administrative Code Chapter Service Begin/End Dates 10/01/1975 09/01/2011 08/31/2012 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 09/01/2011 08/31/2012 Administrative Code Chapter Service Begin/End Dates 09/01/2011 08/31/2012
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Mental Health and Substance Abuse Programs in alphabetical

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