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 294 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2523 THE GILANE CENTER JOHN GILANE 10144 N PORT WASHINGTON RD #LL-B MEQUON, WI 53092 County: Ozaukee gilanecenter@sbcglobal.net Phone: (262) 240-1240 Fax: (262) 240-1245 Surveyor: Mark Isaacs Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 06/01/2004 06/01/2011 05/31/2013 CSAS-Outpatient Treatment DHS 75.13 2912 THE GROWING TREE COUNSELING & WELLNESS, LLC AUDRA EGGUM 140 W MAIN STREET, #A WINNECONNE, WI 54986 County: Winnebago TheGrowingTree@ymail.com Phone: (920) 582-4000 Fax: (888) 845-9581 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 05/19/2010 06/01/2011 05/31/2013 Mental Health Outpatient Clinic DHS 35 2634 THE HUMAN DEVELOPMENT CENTER, INC. JAY PELDO 5480 N 92ND ST MILWAUKEE, WI 53225 County: Milwaukee jpeldo@humdevctr.org Phone: (414) 475-1321 Fax: (414) 449-9912 Surveyor: William Goehring Services NO BRANCH LOCATIONS 06/01/2011 05/31/2013 Administrative Code Chapter Service Begin/End Dates 01/25/2006 02/01/2012 01/31/2013 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 06/01/2011 05/31/2013 Administrative Code Chapter Service Begin/End Dates 02/01/2012 01/31/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 295 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1914 THE INTEGRAL PSYCHOLOGY CENTER ARDEN MAHLBERG 1619 MONROE ST MADISON, WI 53711 County: Dane ipc@integralpsychology.com Phone: (608) 255-9330 Fax: (608) 255-7810 Surveyor: William Rohner Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 05/01/1979 05/01/2012 04/30/2014 Mental Health Outpatient Clinic DHS 35 2207 THE KELLEY CLINIC JANE KELLEY 1216 N. PROSPECT AVENUE MILWAUKEE, WI 53202 County: Milwaukee jane@thekelleyclinic.com Phone: (414) 271-9272 Fax: (414) 271-1299 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 05/01/1999 05/01/2011 04/30/2013 Mental Health Outpatient Clinic DHS 35 2944 THE POWER OF CHANGE INC BEHAVIORAL SERVICES RHONDA ARMON-BENT 3975 N 68TH STREET MILWAUKEE, WI 53216 County: Milwaukee thepowerofchange@gmail.com Phone: (414) 393-0922 Fax: (414) 393-0928 Surveyor: Demetrius Anderson Services NO BRANCH LOCATIONS 05/01/2012 04/30/2014 Administrative Code Chapter Service Begin/End Dates 07/01/2011 07/01/2011 06/30/2012 Mental Health Outpatient Clinic DHS 35 CSAS-Day Treatment DHS 75.12 CSAS-Outpatient Treatment DHS 75.13 NO BRANCH LOCATIONS 05/01/2011 04/30/2013 Administrative Code Chapter Service Begin/End Dates 07/01/2011 06/30/2012 07/01/2011 06/30/2012 07/01/2011 06/30/2012
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