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 268 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2755 SANDERSON'S AODA SERVICES MICHAEL SANDERSON 104 S EYDER #216 PHILLIPS, WI 54555 County: Price sandersonaoda@yahoo.com Phone: (715) 456-4025 Fax: (715) 339-4018 Surveyor: Bradley Jahr Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 09/01/2007 11/01/2010 08/31/2012 CSAS-Intervention DHS 75.16 2713 SAUK COUNTY DEPARTMENT OF HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES SHARON BOESL 505 BROADWAY BARABOO, WI 53913 County: Sauk SBoesl@co.sauk.wi.us Phone: (608) 355-4200 Fax: (608) 355-4299 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 03/01/2007 03/01/2011 02/28/2013 Comprehensive Community Services (CCS) DHS 36 1824 SAUK COUNTY DEPARMENT OF HUMAN SERVICES SHARON BOESL 505 BROADWAY STREET BARABOO, WI 53913 County: Sauk sboesl@co.sauk.wi.us Phone: (608) 355-4200 Fax: (608) 355-4299 Surveyor: William Rohner Services NO BRANCH LOCATIONS 11/01/2010 08/31/2012 Administrative Code Chapter Service Begin/End Dates 01/01/1988 01/01/2012 12/31/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Emergency Outpatient DHS 75.05 CSAS-Outpatient Treatment DHS 75.13 Mental Health-Emergency Service 3 DHS 34.3 Mental Health-Emergency Service 3 w/Telehealth DHS 34.3 SAUK COUNTY DHS - REEDSBURG OFFICE 425 SIXTH STREET REEDSBURG, WI 53959 03/01/2011 02/28/2013 Tier 2 01/01/2012 12/31/2013 Administrative Code Chapter Service Begin/End Dates 01/01/2012 12/31/2013 01/01/2012 12/31/2013 01/01/2012 12/31/2013 01/01/2012 12/31/2013 01/01/2012 12/31/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 269 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1823 SAUK COUNTY DEPARTMENT OF HUMAN SERVICES COMMUNITY SUPPORT PROGRAM EDDIE SCANLAN 425 SIXTH STREET REEDSBURG, WI 53959 County: Sauk escanlan@co.sauk.wi.us Phone: (608) 355-4200 Fax: (608) 524-7924 Surveyor: William Rohner Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 07/01/1990 07/01/2012 06/30/2014 Mental Health-Community Support Program DHS 63 1825 SAWYER COUNTY HEALTH & HUMAN SERVICES/INFORMATION & REFERRAL CENTER JOE BODO 10610 MAIN ST SUITE 224 HAYWARD, WI 54843 County: Sawyer jbodo@sawyerhs.hayward.wi.us Phone: (715) 634-4806 Fax: (715) 634-3580 Surveyor: Bradley Jahr 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 04/01/1979 07/01/2012 06/30/2014 CSAS-Emergency Outpatient DHS 75.05 CSAS-Outpatient Treatment DHS 75.13 CSAS-Prevention DHS 75.04 2804 SCENIC BLUFFS COMMUNITY HEALTH CENTERS BARBARA MASHAK 238 FRONT STREET CASHTON, WI 54619 County: Monroe bmashak@scenicbluffs.org Phone: (608) 654-5100 Fax: (608) 654-5120 Surveyor: Polly Wong Services NO BRANCH LOCATIONS 07/01/2012 06/30/2014 Administrative Code Chapter Service Begin/End Dates 07/28/2008 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 NO BRANCH LOCATIONS 07/01/2012 06/30/2014 07/01/2012 06/30/2014 07/01/2012 06/30/2014 Administrative Code Chapter Service Begin/End Dates 07/01/2012 06/30/2014 07/01/2012 06/30/2014
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