Mental Health and Substance Abuse Programs in alphabetical

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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 66 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1873 COLUMBIA ST. MARY'S OZAUKEE HOSPITAL BEHAVIORAL HEALTH UNIT BILL FRY 13111 N PORT WASHINGTON RD MEQUON, WI 53097 County: Ozaukee wfry@columbia-stmarys.org Phone: (414) 291-5520 Fax: (262) 243-8380 Surveyor: Mark Isaacs Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 09/01/1984 03/01/2012 02/28/2014 CSAS-Medically Managed Inpatient Detox DHS 75.06 Mental Health-Inpatient DHS 61.71 2779 COMMON THREADS FAMILY RESOURCE CENTER ELLEN EGGEN 5979 SIGGELKOW ROAD MC FARLAND, WI 53558 County: Dane info@commonthreadsmadison.org Phone: (608) 838-8999 Fax: (608) 838-8988 Surveyor: William Rohner Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 04/01/2008 10/01/2011 09/30/2013 Mental Health Outpatient Clinic DHS 35 2334 COMMUNITY ADVOCATES - HORIZONS CAMPUS STACY YONKOWSKI 2511 W. VINE STREET MILWAUKEE, WI 53205 County: Milwaukee stacy@horizonshouse.org Phone: (414) 342-3237 Fax: (414) 342-3258 Surveyor: Demetrius Anderson Services NO BRANCH LOCATIONS 03/01/2012 02/28/2014 03/01/2012 02/28/2014 Administrative Code Chapter Service Begin/End Dates 11/01/2001 11/01/2010 10/31/2012 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 CSAS-Transitional Residential DHS 75.14 NO BRANCH LOCATIONS 10/01/2011 09/30/2013 Administrative Code Chapter Service Begin/End Dates 11/01/2010 10/31/2012 11/01/2010 10/31/2012 11/01/2010 10/31/2012
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 67 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1220 COMMUNITY CARE RESOURCES, INC. DANIEL SIMON 6717 STONE GLEN ROAD MIDDLETON, WI 53562 County: Dane ccr@communitycareresources.com Phone: (608) 827-7100 Fax: (608) 827-7101 Surveyor: William Rohner Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 02/01/1994 04/01/2011 03/31/2013 Mental Health Outpatient Clinic DHS 35 1222 COMMUNITY COUNSELING CENTER OF MADISON, INC. SHARON BARGER 6629 UNIVERSITY AVENUE, #209 MIDDLETON, WI 53562 County: Dane univavectr@yahoo.com Phone: (608) 833-5880 Fax: (608) 829-3787 Surveyor: William Rohner Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 01/01/1998 01/01/2012 01/31/2014 Mental Health Outpatient Clinic DHS 35 2744 COMMUNITY COUNSELING SERVICES ARLENE ESLINGER 16947 COUNTY HIGHWAY X CHIPPEWA FALLS, WI 54729 County: Chippewa arleneeslinger@sbcglobal.net Phone: (715) 723-1221 Fax: (715) 738-1214 Surveyor: Polly Wong Services NO BRANCH LOCATIONS 04/01/2011 03/31/2013 Administrative Code Chapter Service Begin/End Dates 08/14/2007 08/01/2012 07/31/2014 CSAS-Intervention DHS 75.16 NO BRANCH LOCATIONS 01/01/2012 01/31/2014 Administrative Code Chapter Service Begin/End Dates 08/01/2012 07/31/2014
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Mental Health and Substance Abuse Programs in alphabetical

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