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 37 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2241<br />
BELLIN PSYCHIATRIC CENTER BEHAVIORAL<br />
HEALTH CLINIC ASHWAUBENON<br />
STEVE DUSCHER<br />
1630 COMMANCHE AVENUE<br />
GREEN BAY, WI 54313<br />
County: Brown<br />
sldusc@bell<strong>in</strong>.org<br />
Phone: (920) 431-5687<br />
Fax: (920) 431-0333<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 />
06/30/2000<br />
07/01/2012<br />
06/30/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
2227<br />
BELLIN PSYCHIATRIC CENTER BEHAVIORAL<br />
HEALTH CLINIC OCONTO FALLS<br />
STEVE DUSCHER<br />
833 S. MAIN STREET<br />
OCONTO FALLS, WI 54154<br />
County: Oconto<br />
sldusc@bell<strong>in</strong>.org<br />
Phone: (920) 431-5687<br />
Fax: (920) 431-0333<br />
Surveyor: Frank Bellaire<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 />
BELLIN PSYCHIATRIC<br />
CENTER-ONCOLOGY<br />
1580 COMMANCHE AVENUE<br />
GREEN BAY, WI 54313<br />
Tier 1<br />
07/01/2012<br />
06/30/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
06/23/2000<br />
07/01/2012<br />
06/30/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
1098<br />
BELLIN PSYCHIATRIC CENTER<br />
STEVE DUSCHER<br />
301 E ST JOSEPH STREET<br />
GREEN BAY, WI 54305<br />
County: Brown<br />
sldusc@bell<strong>in</strong>.org<br />
Phone: (920) 431-5687<br />
Fax: (920) 431-0333<br />
Surveyor: Frank Bellaire<br />
Services<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 />
04/01/1984<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-Day Treatment DHS 75.12<br />
CSAS-Medically Managed Inpatient Detox DHS 75.06<br />
CSAS-Medically Monitored Treatment DHS 75.11<br />
CSAS-Outpatient Treatment DHS 75.13<br />
CSAS-Transitional Residential DHS 75.14<br />
<strong>Mental</strong> <strong>Health</strong>-Adolescent Inpatient DHS 61.79<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 />
07/01/2012 06/30/2014<br />
BELLIN PSYCHIATRIC CENTER Tier 1<br />
575 - 4TH ST<br />
04/01/2012<br />
KEWAUNEE, WI 54216<br />
03/31/2014<br />
BELLIN PSYCHIATRIC CENTER Tier 1<br />
744 S WEBSTER AVE<br />
04/01/2012<br />
GREEN BAY, WI 54301<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<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014<br />
04/01/2012 03/31/2014
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