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 333 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2019<br />
WOOD COUNTY HUMAN SERVICES DEPARTMENT<br />
RANDALL AMBROSIUS<br />
2611- 12TH STREET SOUTH<br />
WISCONSIN RAPIDS, WI 54494<br />
County: Wood<br />
rambrosius@co.wood.wi.us<br />
Phone: (715) 421-8849<br />
Fax: (715) 421-2266<br />
Surveyor: Bradley Jahr<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 />
08/01/1977<br />
07/01/2012<br />
06/30/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic with Telehealth DHS 35<br />
CSAS-Day Treatment DHS 75.12<br />
CSAS-Day Treatment with Telehealth DHS 75.12<br />
CSAS-Emergency Outpatent with Telehealth DHS 75.05<br />
CSAS-Emergency Outpatient DHS 75.05<br />
CSAS-Outpatient Treatment DHS 75.13<br />
CSAS-Outpatient Treatment with Telehealth DHS 75.13<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 DHS 34.3<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 w/Telehealth DHS 34.3<br />
2678<br />
WOOD COUNTY UNIFIED SERVICES<br />
COMPREHENSIVE COMMUNITY SERVICES<br />
KATHY ROETTER<br />
2611 - 12TH AVENUE, SOUTH<br />
WISCONSIN RAPIDS, WI 54494<br />
County: Wood<br />
kroetter@co.wood.wi.us<br />
Phone: (715) 421-8800<br />
Fax: (715) 421-2266<br />
Surveyor: Bradley Jahr<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 />
08/01/1977<br />
07/01/2012<br />
06/30/2014<br />
Comprehensive Community Services (CCS) DHS 36<br />
2020<br />
WOODLANDS COUNSELING CENTRE, LLC<br />
CHRISTINE E. RAINEY<br />
6506 SCHROEDER ROAD<br />
MADISON, WI 53711<br />
County: Dane<br />
No Email Address Provided<br />
Phone: (608) 274-7800<br />
Fax: No Number Provided<br />
Surveyor: William Rohner<br />
Services<br />
NO BRANCH LOCATIONS<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
07/01/2012 06/30/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
07/01/1994<br />
07/01/2008<br />
06/30/2010<br />
<strong>Mental</strong> <strong>Health</strong>-Outpatient DHS 61.91<br />
NO BRANCH LOCATIONS<br />
07/01/2012 06/30/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
07/01/2008 06/30/2010
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