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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 322 of 335<br />

Certification Number/<br />

Certified Provider's Ma<strong>in</strong> Site/<br />

Email/Telephone<br />

2310<br />

WHEATON FRANCISCAN CENTER FOR ADDICTION<br />

RECOVERY<br />

WILLIAM STONER<br />

9301 WASHINGTON AVENUE<br />

RACINE, WI 53406<br />

County: Rac<strong>in</strong>e<br />

William.stoner@wfhc.org<br />

Phone: (262) 687-8626<br />

Fax: (262) 687-8611<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 />

07/11/2001<br />

08/01/2012<br />

07/31/2014<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

CSAS-Day Treatment DHS 75.12<br />

CSAS-Outpatient Treatment DHS 75.13<br />

1027<br />

WHEATON FRANCISCAN HEALTHCARE - ALL<br />

SAINTS MENTAL HEALTH & ADDICTION CARE<br />

JULIE HUELLER, RN<br />

1320 WISCONSIN AVENUE<br />

RACINE, WI 53403<br />

County: Rac<strong>in</strong>e<br />

julie.hueller@wfhc.org<br />

Phone: (262) 687-2136<br />

Fax: (262) 687-2802<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 />

07/01/1990<br />

07/01/2010<br />

06/30/2012<br />

<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />

CSAS-Medically Managed Inpatient Detox DHS 75.06<br />

CSAS-Medically Managed Inpatient Treatment DHS 75.10<br />

CSAS-Outpatient Treatment DHS 75.13<br />

<strong>Mental</strong> <strong>Health</strong>-Adolescent Inpatient DHS 61.79<br />

<strong>Mental</strong> <strong>Health</strong>-Day Treatment DHS 61.75<br />

<strong>Mental</strong> <strong>Health</strong>-Day Treatment for Children 3 DHS 40.11(2)(c)<br />

<strong>Mental</strong> <strong>Health</strong>-Inpatient DHS 61.71<br />

WHEATON FRANCISCAN<br />

HEALTHCARE-ALL SAINTS<br />

2408 FOUR MILE ROAD<br />

RACINE, WI 53402<br />

WHEATON FRANCISCAN<br />

HEALTHCARE-ALL SAINTS<br />

3805B SPRING STREET, #240<br />

RACINE, WI 53405<br />

08/01/2012 07/31/2014<br />

08/01/2012 07/31/2014<br />

08/01/2012 07/31/2014<br />

Tier 1<br />

08/01/2011<br />

06/30/2012<br />

Tier 2<br />

07/01/2010<br />

06/30/2012<br />

Adm<strong>in</strong>istrative<br />

Code Chapter Service Beg<strong>in</strong>/End Dates<br />

07/01/2010 06/30/2012<br />

07/01/2010 06/30/2012<br />

07/01/2010 06/30/2012<br />

07/01/2010 06/30/2012<br />

07/01/2010 06/30/2012<br />

07/01/2010 06/30/2012<br />

07/01/2010 06/30/2012<br />

07/01/2010 06/30/2012

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