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 308 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2960 VERNON COUNTY DEPARTMENT OF HUMAN SERVICES/CENTER POINT COUNSELING SERVICES COOP PAM EITLAND 318 FAIRLANE DRIVE VIROQUA, WI 54665 County: Vernon No Email Address Provided Phone: (608) 637-5210 Fax: (608) 637-5505 Surveyor: Polly Wong Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 12/01/2011 12/01/2011 11/30/2012 Mental Health-Emergency Service 3 DHS 34.3 1963 VERNON MEMORIAL HOSPITAL SUE SULLIVAN 507 S. MAIN STREET VIROQUA, WI 54665 County: Vernon ssullivan@vmh.org Phone: (608) 637-2101 Fax: (608) 637-2141 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 02/01/1978 09/01/2012 08/31/2014 CSAS-Medically Managed Inpatient Detox DHS 75.06 2784 VERONA COUNSELING ASSOCIATES JUDITH CRESSON 111 E VERONA AVENUE VERONA, WI 53593 County: Dane emski@chorus.net Phone: (608) 848-2574 Fax: (608) 848-2574 Surveyor: William Rohner Services NO BRANCH LOCATIONS 12/01/2011 11/30/2012 Administrative Code Chapter Service Begin/End Dates 05/01/2008 06/01/2011 04/30/2013 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 09/01/2012 08/31/2014 Administrative Code Chapter Service Begin/End Dates 06/01/2011 04/30/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 309 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1965 VILLA HOPE COMMUNITY SUPPORT PROGRAM OF BROWN COUNTY MOLLIE TOONEN 1100 GUNS ROAD GREEN BAY, WI 54311 County: Brown mtoonen@villahopecsp.com Phone: (920) 469-7030 Fax: (920) 469-5599 Surveyor: Frank Bellaire Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 02/06/1996 03/01/2012 02/28/2014 Mental Health-Community Support Program DHS 63 2398 VIROQUA HEALING ARTS MENTAL HEALTH CENTER SUSAN KOPP TOWNSLEY 224 EAST COURT STREET VIROQUA, WI 54665 County: Vernon susan.townsley@viroquahealingarts.com Phone: (608) 637-7600 Fax: (608) 637-7328 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 07/22/2002 08/01/2009 07/31/2011 Mental Health Outpatient Clinic DHS 35 2663 VISIONS COUNSELING, INC. GWENDOLYN MARTELL-WILLIAM N2355 SMITH ROAD MERRILL, WI 54452 County: Lincoln visionscounseling@yahoo.com Phone: (715) 551-1970 Fax: (715) 539-3580 Surveyor: Bradley Jahr Services 03/01/2012 02/28/2014 GOOD SHEPARD LUTHERAN CHURCH Tier 1 504 S MAIN STREET 06/07/2010 VIROQUA, WI 54665 07/31/2011 Administrative Code Chapter Service Begin/End Dates 03/22/2006 03/01/2010 02/28/2011 Mental Health Outpatient Clinic DHS 35 08/01/2009 07/31/2011 VISIONS COUNSELING, INC. Tier 1 2801 N 7TH STREET, #400G 03/01/2010 WAUSAU, WI 54403 02/28/2011 Administrative Code Chapter Service Begin/End Dates 03/01/2010 02/28/2011
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Mental Health and Substance Abuse Programs in alphabetical

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