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 292 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1123 THE CAMBRIDGE GROUP PAUL SMERZ 6110 N. PORT WASHINGTON ROAD GLENDALE, WI 53217 County: Milwaukee PSmerz@aol.com Phone: (414) 332-7400 Fax: (414) 963-6866 Surveyor: William Goehring Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 12/01/1990 08/01/2010 07/31/2012 Mental Health Outpatient Clinic DHS 35 1147 THE CENTER FOR CHRISTIAN COUNSELING, CONSULTATION, AND TRAINING INC KEVIN RANDALL 5310 WALL STREET, #500 MADISON, WI 53718 County: Dane No Email Address Provided Phone: (608) 274-8294 Fax: (608) 274-8783 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 03/01/1982 03/01/2012 02/28/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1909 THE CENTRE FOR WELL-BEING, INC. SHARON MUTTONEN 300 N THIRD STREET, #302 WAUSAU, WI 54403 County: Marathon No Email Address Provided Phone: (715) 848-5022 Fax: No Number Provided Surveyor: Bradley Jahr Services NO BRANCH LOCATIONS 08/01/2010 07/31/2012 Administrative Code Chapter Service Begin/End Dates 02/17/1992 09/01/2011 08/31/2013 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 03/01/2012 02/28/2014 08/01/2012 02/28/2014 Administrative Code Chapter Service Begin/End Dates 09/01/2011 08/31/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 293 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1333 THE COUNSELING CLINIC-FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. LOIS MISCHLER 1810 APPLETON ROAD MENASHA, WI 54952 County: Winnebago syang@fmailyservicenew.org Phone: (920) 739-4226 Fax: (920) 739-7639 Surveyor: Frank Bellaire Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 03/01/1983 12/01/2010 11/30/2012 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 2038 THE D & S HEALING CENTER TRACY TREACY 3628 WEST WRIGHT ST MILWAUKEE, WI 53210 County: Milwaukee tracy@dshealingcenter.com Phone: (414) 265-0300 Fax: (414) 265-0200 Surveyor: Demetrius Anderson 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 08/01/1998 06/01/2011 05/31/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Day Treatment DHS 75.12 CSAS-Outpatient Treatment DHS 75.13 2857 THE FAMILY CENTER BETTY RYGIEWICZ 8025 EXCELSIOR DRIVE, #110 MADISON, WI 53717 County: Dane BRygiewicz@edgewood.edu Phone: (608) 663-6154 Fax: (608) 664-9854 Surveyor: William Rohner Services NO BRANCH LOCATIONS 12/01/2010 11/30/2012 12/01/2010 11/30/2012 Administrative Code Chapter Service Begin/End Dates 07/02/2009 09/01/2012 08/31/2014 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 06/01/2011 05/31/2013 06/01/2011 05/31/2013 06/01/2011 05/31/2013 Administrative Code Chapter Service Begin/End Dates 09/01/2012 08/31/2014
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