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 328 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2008<br />
WINNEBAGO MENTAL HEALTH INSTITUTE<br />
THOMAS SPEECH<br />
TREFFERT DRIVE & BUTLER AVENUE<br />
WINNEBAGO, WI 54985<br />
County: W<strong>in</strong>nebago<br />
No Email Address Provided<br />
Phone: (920) 235-4910<br />
Fax: (920) 237-2043<br />
Surveyor: Frank Bellaire<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 />
10/01/1975<br />
11/01/2009<br />
10/31/2011<br />
CSAS-Medically Managed Inpatient Treatment DHS 75.10<br />
CSAS-Medically Monitored Treatment DHS 75.11<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>-Inpatient DHS 61.71<br />
1995<br />
WISCONSIN COMMUNITY SERVICES OUTPATIENT<br />
MENTAL HEALTH PROGRAM<br />
COLLEEN DUBLINSKI<br />
3734 W. WISCONSIN AVENUE<br />
MILWAUKEE, WI 53208<br />
County: Milwaukee<br />
colleen@wiscs.org<br />
Phone: (414) 343-3515<br />
Fax: (414) 344-2191<br />
Surveyor: Demetrius Anderson<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 />
06/01/1977<br />
07/01/2011<br />
06/30/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
1994<br />
WISCONSIN COMMUNITY SERVICES THE JOSHUA<br />
GLOVER CENTER<br />
DOUG HINTON<br />
2105 N. BOOTH STREET<br />
MILWAUKEE, WI 53212<br />
County: Milwaukee<br />
dh<strong>in</strong>ton@wiscs.org<br />
Phone: (414) 263-4481<br />
Fax: (414) 226-0351<br />
Surveyor: Demetrius Anderson<br />
Services<br />
NO BRANCH LOCATIONS<br />
11/01/2009 10/31/2011<br />
11/01/2009 10/31/2011<br />
08/19/2010 10/31/2011<br />
11/01/2009 10/31/2011<br />
11/01/2009 10/31/2011<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
05/01/1990<br />
07/01/2011<br />
06/30/2013<br />
CSAS-Transitional Residential DHS 75.14<br />
NO BRANCH LOCATIONS<br />
07/01/2011 06/30/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
07/01/2011 06/30/2013
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