Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
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DEPARTMENT OF HEALTH SERVICES<br />
Division of Quality Assurance<br />
Pr<strong>in</strong>t Date: 08/28/2012<br />
Page 314 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2185<br />
WAUKESHA HEALTH SYSTEM BEHAV MED CTR<br />
DBA DN GREENWALD CTR-PHC-MUKWONAGO<br />
BARBARA JONES<br />
240 W MAPLE STREET<br />
MUKWONAGO, WI 53149<br />
County: Waukesha<br />
barbara.jones@phci.org<br />
Phone: (262) 928-2396<br />
Fax: (262) 928-7812<br />
Surveyor: Mark Isaacs<br />
Services<br />
Community <strong>Substance</strong> <strong>Abuse</strong> <strong>and</strong> <strong>Mental</strong> <strong>Health</strong><br />
Program Certification Directory<br />
By Provider Name & Certification Number<br />
Initial Certification/<br />
Certification Effective/<br />
Certification Expires<br />
12/01/1999<br />
12/01/2010<br />
11/30/2012<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
2504<br />
WAUKESHA HEALTH SYSTEM BEHAVIORAL<br />
MEDICINE CENTER OUTPATIENT-OCONOMOWOC<br />
BARBARA JONES<br />
1185 CORPORATE CENTER DRIVE<br />
OCONOMOWOC, WI 53066<br />
County: Waukesha<br />
barbara.jones@phci.org<br />
Phone: (262) 928-2396<br />
Fax: (262) 978-7812<br />
Surveyor: Mark Isaacs<br />
Services<br />
STATE OF WISCONSIN<br />
Bureau of <strong>Health</strong> Services<br />
PO Box 2969<br />
Madison, WI 53701-2969<br />
Tier/<br />
Branch Beg<strong>in</strong>/<br />
Branch Location(s) End Dates<br />
NO BRANCH LOCATIONS<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
01/01/2004<br />
01/01/2011<br />
12/31/2012<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
2184<br />
WAUKESHA HEALTH SYSTEM DBA BEHAVIORAL<br />
MEDICINE CENTER @ PHC-MUSKEGO<br />
BARBARA JONES<br />
S69 W15636 JANESVILLE ROAD<br />
MUSKEGO, WI 53150<br />
County: Waukesha<br />
barbara.jones@phci.org<br />
Phone: (262) 928-2396<br />
Fax: (262) 928-7812<br />
Surveyor: Mark Isaacs<br />
Services<br />
NO BRANCH LOCATIONS<br />
12/01/2010 11/30/2012<br />
12/01/2010 11/30/2012<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
12/01/1999<br />
12/01/2010<br />
11/30/2012<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
NO BRANCH LOCATIONS<br />
01/01/2011 12/31/2012<br />
01/01/2011 12/31/2012<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
12/01/2010 11/30/2012
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