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 323 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2732<br />
WHEATON FRANCISCAN HEALTHCARE ALL<br />
SAINTS<br />
JULIE HEULLER<br />
3805B SPRING STREET #240<br />
RACINE, WI 53405<br />
County: Rac<strong>in</strong>e<br />
No Email Address Provided<br />
Phone: (262) 687-8118<br />
Fax: (262) 687-8109<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 />
04/20/2007<br />
05/01/2008<br />
04/30/2010<br />
<strong>Mental</strong> <strong>Health</strong>-Outpatient DHS 61.91<br />
1028<br />
WHEATON FRANCISCAN HEALTHCARE<br />
COUNSELING CENTER BURLINGTON<br />
WILLIAM M.STONER<br />
152 E. STATE STREET<br />
BURLINGTON, WI 53105<br />
County: Rac<strong>in</strong>e<br />
william.stoner@WFHC.org<br />
Phone: (262) 763-8183<br />
Fax: (262) 763-9394<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 />
04/01/1990<br />
04/01/2012<br />
03/31/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
2300<br />
WHEATON FRANCISCAN HEALTHCARE<br />
COUNSELING CENTER KENOSHA<br />
WILLIAM M. STONER<br />
10117 - 74TH STREET, #100<br />
KENOSHA, WI 53142<br />
County: Kenosha<br />
william.stoner@wfhc.org<br />
Phone: (262) 687-7650<br />
Fax: (262) 687-7656<br />
Surveyor: Mark Isaacs<br />
Services<br />
WHEATON FRAN MEDICAL<br />
GROUP-UNION GROVE<br />
1120 MAIN ST<br />
UNION GROVE, WI 53182<br />
05/01/2008 04/30/2010<br />
Tier 1<br />
04/01/2012<br />
03/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
03/05/2001<br />
04/01/2012<br />
03/31/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
WHEATON FRAN HEALTHCARE SOUTH<br />
SIDE<br />
6232 BANKERS RD<br />
RACINE, WI 53403<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014<br />
Tier 1<br />
04/01/2012<br />
03/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014
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