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 72 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1235 COMPREHENSIVE MENTAL HEALTH SERVICES, SC JACQUE HINZ 5150 N PORT WASHINGTON RD #200 MILWAUKEE, WI 53217 County: Milwaukee compmenthealth@aol.com Phone: (414) 332-7333 Fax: (414) 332-7751 Surveyor: William Goehring Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 11/01/1981 11/01/2010 10/31/2011 Mental Health Outpatient Clinic DHS 35 2407 CONNECTIONS COUNSELING SHELLY DUTCH 5005 UNIVERSITY AVE STE #100 MADISON, WI 53705 County: Dane shelly.dutch@connectionscounseling.com Phone: (608) 233-2100 Fax: (608) 233-2101 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 01/01/2003 04/01/2011 03/31/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 11/01/2010 10/31/2011 CONNECTIONS COUNSELING Tier 1 660 W WASHINGTON 04/01/2011 MADISON, WI 53703 05/19/2011 Administrative Code Chapter Service Begin/End Dates 04/01/2011 03/31/2013 04/01/2011 03/31/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 73 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1237 CORNERSTONE COUNSELING SERVICES, INC. CHRISTINE TEUTEBERG 16535 W. BLUEMOUND ROAD, #200 BROOKFIELD, WI 53005 County: Waukesha ccshelp@ccs2.com Phone: (262) 542-3255 Fax: (262) 821-6180 Surveyor: Mark Isaacs Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 03/01/1993 03/01/2012 02/28/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates CORNERSTONE COUNSELING SERVICES, INC. 400 BAY VIEW ROAD, SUITE C MUKWONAGO, WI 53149 CORNERSTONE COUNSELING SERVICES, INC. 888 THACKERAY TRAIL, #105 OCONOMOWOC, WI 53066 CORNERSTONE COUNSELING SERVICES, INC. 741 N GRAND AVENUE, #302 WAUKESHA, WI 53186 CORNERSTONE COUNSELING SERVICES, INC. 4811 S 76TH STREET GREENFIELD, WI 53220 CORNERSTONE COUNSELING SERVICES, INC. 5555 N PORT WASHINGTON ROAD, #200 GLENDALE, WI 53217 CORNERSTONE COUNSELING SERVICES, INC. 120 S MAIN STREET, #102 JEFFERSON, WI 53549 CORNERSTONE COUNSELING SERVICES, INC. 279 S 17TH STREET, #10 WEST BEND, WI 53095 CORNERSTONE COUNSELING SERVICES, INC. 10850 W PARK PLACE, #100 MILWAUKEE, WI 53224 Tier 2 03/01/2012 02/28/2014 Tier 2 03/01/2012 02/28/2014 Tier 2 03/01/2012 02/28/2014 Tier 2 03/01/2012 02/28/2014 Tier 2 03/01/2012 02/28/2014 Tier 1 03/01/2012 02/28/2014 Tier 2 03/01/2012 02/28/2014 Tier 2 03/01/2012 02/28/2014 Administrative Code Chapter Service Begin/End Dates 03/01/2012 02/28/2014 03/01/2012 02/28/2014
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Mental Health and Substance Abuse Programs in alphabetical

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