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 75 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2402<br />
CORNERSTONE COUNSELING SERVICES, INC.<br />
CHRISTINE TEUTEBERG<br />
555 BAY VIEW ROAD, #4<br />
MUKWONAGO, WI 53149<br />
County: Waukesha<br />
No Email Address Provided<br />
Phone: (262) 363-7449<br />
Fax: (262) 821-6180<br />
Surveyor: Mark Isaacs<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 />
11/01/2002<br />
11/01/2007<br />
10/31/2009<br />
CSAS-Outpatient Treatment DHS 75.13<br />
<strong>Mental</strong> <strong>Health</strong>-Outpatient DHS 61.91<br />
1240<br />
COULEE COUNCIL ON ADDICTIONS, INC.<br />
LORIE LAUTZ<br />
921 WEST AVENUE SOUTH<br />
LA CROSSE, WI 54601<br />
County: La Crosse<br />
cca@couleecouncil.org<br />
Phone: (608) 784-4177<br />
Fax: (608) 784-6302<br />
Surveyor: Polly Wong<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 />
11/01/1986<br />
11/01/2011<br />
10/31/2013<br />
CSAS-Outpatient Treatment DHS 75.13<br />
CSAS-Prevention DHS 75.04<br />
1241<br />
COULEE YOUTH & ADULTS CENTERS, INC<br />
STEVEN T EIDE<br />
231 COPELAND AVENUE<br />
LA CROSSE, WI 54601<br />
County: La Crosse<br />
cbusse@couleecenters.org<br />
Phone: (608) 782-7152<br />
Fax: (608) 785-1241<br />
Surveyor: Polly Wong<br />
Services<br />
NO BRANCH LOCATIONS<br />
11/01/2007 10/31/2009<br />
11/01/2007 10/31/2009<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
01/01/1992<br />
04/01/2011<br />
03/31/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Intervention DHS 75.16<br />
CSAS-Outpatient Treatment DHS 75.13<br />
NO BRANCH LOCATIONS<br />
11/01/2011 10/31/2013<br />
11/01/2011 10/31/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
04/01/2011 03/31/2013<br />
04/13/2011 03/31/2012<br />
04/01/2011 03/31/2013
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