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 304 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1942 UNIFIED COMMUNITY SERVICES CHERYL KNAPP 1122 PROFESSIONAL DRIVE DODGEVILLE, WI 53533 County: Iowa cknapp@unifiedservices.org Phone: (608) 723-6357 Fax: (608) 723-4417 Surveyor: Cynthia Lindgren Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 10/01/1975 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1943 UNIFIED COMMUNITY SERVICES CHERYL KNAPP 200 W. ALONA LANE LANCASTER, WI 53813 County: Grant cknapp@unifiedservices.org Phone: (608) 723-6357 Fax: (608) 723-4417 Surveyor: Cynthia Lindgren 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 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Emergency Outpatient DHS 75.05 CSAS-Outpatient Treatment DHS 75.13 Mental Health-Emergency Service 2 DHS 34.2 1949 UNITED COMMUNITY CENTER ART RENE FARIAS 1011 SOUTH 8TH STREET MILWAUKEE, WI 53204 County: Milwaukee renef@unitedcc.org Phone: (414) 643-8530 Fax: (414) 647-8602 Surveyor: William Goehring Services NO BRANCH LOCATIONS 07/01/2012 06/30/2014 07/01/2012 06/30/2014 Administrative Code Chapter Service Begin/End Dates 10/03/1997 10/01/2011 09/30/2012 CSAS-Medically Monitored Treatment DHS 75.11 CSAS-Transitional Residential DHS 75.14 NO BRANCH LOCATIONS 07/01/2012 06/30/2014 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 10/01/2011 09/30/2012 10/01/2011 09/30/2012
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 305 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2351 UNITED COMMUNITY CENTER LATINAS UNIDAS RENE FARIAS 1007 SOUTH 8TH STREET MILWAUKEE, WI 53204 County: Milwaukee renef@unitedcc.org Phone: (414) 643-8530 Fax: (414) 647-8602 Surveyor: William Goehring Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 11/01/2001 10/01/2010 09/30/2012 CSAS-Medically Monitored Treatment DHS 75.11 CSAS-Transitional Residential DHS 75.14 1657 UNITED COMMUNITY CENTER RENE FARIAS 1100 S 6TH STREET, 3RD FLOOR MILWAUKEE, WI 53204 County: Milwaukee renef@unitedcc.org Phone: (414) 384-3100 Fax: (414) 647-8602 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 05/01/1980 10/01/2010 09/30/2012 Mental Health Outpatient Clinic DHS 35 CSAS-Day Treatment DHS 75.12 CSAS-Outpatient Treatment DHS 75.13 2881 UNITED COMMUNITY CENTER RENE FARIAS 604 W SCOTT STREET MILWAUKEE, WI 53204 County: Milwaukee renef@unitedcc.org Phone: (414) 643-8530 Fax: (414) 647-8602 Surveyor: William Goehring Services NO BRANCH LOCATIONS 10/01/2010 09/30/2012 10/01/2010 09/30/2012 Administrative Code Chapter Service Begin/End Dates 08/13/2009 08/01/2012 07/31/2014 CSAS-Medically Monitored Treatment DHS 75.11 CSAS-Transitional Residential DHS 75.14 NO BRANCH LOCATIONS 10/01/2010 09/30/2012 10/01/2010 09/30/2012 10/01/2010 09/30/2012 Administrative Code Chapter Service Begin/End Dates 08/01/2012 07/31/2014 08/01/2012 07/31/2014
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