COMMUNITY SUBSTANCE ABUSE AND MENTAL HEALTH PROGRAM CERTIFICATION DIRECTORY

Transcription

1 Page 1 of 203 ified Provider Address, Contact, Phone 1064 Ashland Area Council on AODA, Inc. Initial ification: 9/1/84 County / State: Ashland Randall Spangle Current: 9/1/ th Avenue West, #213 Expires: 8/31/04 Steven Ojibway Ashland, WI (715) CSAS-Prevention HFS CSAS-Emergency Outpatient HFS New Horizons North-Community Support Program Linda Jorgenson 511-1/2 W. Main Street Ashland, WI (715) (715) Initial ification: 5/13/91 Current: 12/1/03 Expires: 11/30/05 County / State: Ashland Mental Health-Community Support Program Steven Ojibway HFS Karla M. Braski, MSSW Initial ification: 1/6/99 County / State: Ashland Karla Braski Current: 1/1/ Stuntz Avenue, #209 Expires: 12/31/04 Steven Ojibway Ashland, WI (715) Northwest Counseling & Guidance Clinic- Ashland Day Treatment Jill Chaffee 630 Sandborne Avenue Ashland, WI (715) (715) Initial ification: 11/1/99 Current: 11/1/03 Expires: 10/31/05 County / State: Ashland Mental Health-Day Treatment for Children 1 Steven Ojibway HFS 40.11(2)(a)

2 Page 2 of ified Provider Address, Contact, Phone Behavioral Health Services of Memorial Medical Center Tom McMullin 1635 Maple Lane Ashland, WI (715) Ashland County Jail 221-7th Street, East Ashland WI (715) Ashland Court Manor Nursing Home 911-3rd Street, West Ashland WI Ashland Health & Rehabilitation Center 1319 Beaser Avenue Ashland WI Bayfield County Jail 117 E. 6th Street Washburn WI Mellen Manor 450 Lake Drive Mellen WI Initial ification: 10/1/99 Current: 10/1/03 Expires: 9/30/05 County / State: Ashland Steven Ojibway Mental Health-Day Treatment HFS Mental Health-Emergency HFS 34.2 Service 2 Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Day Treatment HFS Barron-Washburn Community Support Program Bradley Jahr 1443 E. Division Street Barron, WI (715) (715) Initial ification: 3/26/02 Current: 5/1/03 Expires: 4/30/05 County / State: Barron Mental Health-Community Support Program Roderic Senn HFS Northwest Regional Center Behavioral Health Clinic (Div of Cumberland Mem) Bruce Jungerberg th Avenue Cumberland, WI (715) (715) Initial ification: 12/1/93 Current: 12/1/03 County / State: Barron Expires: 11/30/05 K. L. Polly Wong 1707 Northwest Regional Center John Lapcewich th Avenue Cumberland, WI (715) Initial ification: 4/1/77 Current: 8/1/03 Expires: 7/31/05 County / State: Barron Roderic Senn Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS 75.06

3 Page 3 of ified Provider Address, Contact, Phone ABR Counseling Services Kathy Rudd 12 W. Marshall Street, #100 Rice Lake, WI (715) (715) Initial ification: 3/1/86 Current: 10/1/03 Expires: 9/30/04 County / State: Barron K. L. Polly Wong 1563 Marriage and Family Therapy Services Grace Branham Medical Arts Building 1035 N. Main Street Rice Lake, WI (715) (715) Initial ification: 10/31/91 Current: 11/1/03 County / State: Barron Expires: 10/31/05 K. L. Polly Wong 2161 Northwest Counseling & Guidance Clinic - Rice Lake Day Treatment Jill Chaffee 413 S. Main Street Rice Lake, WI (715) Initial ification: 9/7/99 Current: 10/1/03 Expires: 9/30/04 County / State: Barron Mental Health-Day Treatment for Children 1 Roderic Senn HFS 40.11(2)(a) 2325 Marshfield Clinic - Indianhead Center Kathy Ertz 1020 Lakeshore Drive Rice Lake, WI (715) Initial ification: 10/23/00 Current: 10/1/02 County / State: Barron Expires: 9/30/04 K. L. Polly Wong 1781 Red Cliff AODA Program/Mishomis House Martin Gordon Pike Road, Hwy 13 Bayfield, WI (715) (715) Initial ification: 11/1/83 Current: 10/1/03 County / State: Bayfield Expires: 9/30/05 Steven Ojibway CSAS-Medically Monitored HFS Treatment 1783 Red Cliff Mental Health Program Jacob Geisler Pike Road Bayfield, WI (715) Initial ification: 11/1/83 Current: 10/1/03 County / State: Bayfield Expires: 9/30/05 Steven Ojibway

4 Page 4 of 203 ified Provider Address, Contact, Phone 1080 Bay Area Mental Health Center Barbara Snyder 101 Thompson Road Washburn, WI (715) Bay Area Mental Health Center (715) th Avenue West, 2nd Floor Ashland WI Initial ification: 12/1/91 Current: 12/1/03 County / State: Bayfield Expires: 7/31/05 Steven Ojibway 1663 New Horizons North-Community Support Program Initial ification: 3/1/91 County / State: Bayfield Linda Jorgenson Current: 12/1/ W. Bayfield Street Expires: 11/30/05 Steven Ojibway Washburn, WI (715) (715) Mental Health-Community Support Program HFS Harbor North Counseling Initial ification: 9/1/98 County / State: Bayfield Timothy Faust Current: 9/1/03 14 E. Bayfield Street Expires: 8/31/05 Steven Ojibway Washburn, WI (715) (715) Northland Counseling Services Initial ification: 7/1/01 County / State: Bayfield Jeremy Koehl Current: 7/1/02 30 East Bayfield Street Expires: 6/30/04 Steven Ojibway Washburn, WI (715) (715) Quality Addiction Management - QAM Charles Engel 2979 Allied Street, Unit C Ashwaubenon, WI (920) (262) Initial ification: 10/20/03 Current: 10/20/03 County / State: Brown Expires: 10/31/04 Frank Bellaire CSAS-Narcotic Treatment HFS Employee Resource Center, Inc. Initial ification: 7/1/89 County / State: Brown William Laakso Current: 8/1/ W. Main Avenue, #100 Expires: 7/31/04 Frank Bellaire DePere, WI (920)

5 Page 5 of 203 ified Provider Address, Contact, Phone 1958 Pathmakers, Inc. Initial ification: 5/26/92 County / State: Brown James Cody Current: 2/21/ Nemitz Drive Expires: 5/31/04 Frank Bellaire DePere, WI (920) Bellin Behavioral Health - DePere Stacie Herzog 1800 Lawrence Drive DePere, WI (920) Initial ification: 1/26/01 Current: 4/1/04 County / State: Brown Expires: 3/31/06 Frank Bellaire 2442 Bellin Behavioral Health -East DePere Stacie Herzog 555 Red Bird Circle DePere, WI (920) (920) Initial ification: 10/10/02 Current: 11/1/03 County / State: Brown Expires: 10/31/05 Frank Bellaire 2460 Wisconsin Early Autism Project, Inc. Initial ification: 4/1/03 County / State: Brown Glen O. Sallows Current: 4/1/ W. Main Street Expires: 3/31/05 Frank Bellaire DePere, WI (920) American Foundation of Counseling Services, Inc. Initial ification: 4/1/81 County / State: Brown Robert Johnson Current: 5/1/ E. Walnut Street, #706 Expires: 4/30/06 Frank Bellaire Green Bay, WI (920) Bay Shore Counseling Network, Inc. Mari Martin 2345 E. Mason Street Green Bay, WI (920) (920) Bay Shore Counseling Network, Inc Hall Avenue Marinette WI Initial ification: 10/21/96 Current: 11/1/03 County / State: Brown Expires: 10/31/05 Frank Bellaire

6 Page 6 of ified Provider Address, Contact, Phone Bellin Psychiatric Center Stacie Herzog 301 E. St. Joseph Street Green Bay, WI (920) Bellin Psychiatric Center 575-4th Street Kewaunee WI Initial ification: 4/1/84 Current: 4/1/04 Expires: 3/31/06 County / State: Brown Frank Bellaire Mental Health-Day Treatment for HFS Children (2)(c) Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Brown County Human Services Tammy Snortum 111 N. Jefferson Street Green Bay, WI (920) (920) Initial ification: 10/1/88 Current: 9/1/03 County / State: Brown Expires: 8/31/05 Frank Bellaire Mental Health-Emergency HFS 34.3 Service Brown County Mental Health Center Earlene Ronk 2900 St. Anthony Drive Green Bay, WI (920) Initial ification: 10/1/75 Current: 4/1/03 Expires: 3/31/05 County / State: Brown Mental Health-Adolescent HFS Inpatient Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox Frank Bellaire HFS Catholic Charities Diocese of Green Bay, Inc. Karen Johnston 1825 Riverside Drive Green Bay, WI (920) Initial ification: 1/1/88 Catholic Social Services of the Diocese of Green Bay, Inc. 345 S. 18th Avenue Sturgeon Bay WI Current: 2/1/03 Expires: 1/31/05 County / State: Brown Frank Bellaire

7 Page 7 of ified Provider Address, Contact, Phone N.E.W. Curative Rehabilitation, Inc. John Bloor 2900 Curry Lane Green Bay, WI (920) (920) Initial ification: 11/1/90 Current: 11/1/02 Expires: 10/31/04 County / State: Brown Frank Bellaire 1329 Family Services of Northeast Wisconsin, Inc. Thomas Martin 300 Crooks Street Green Bay, WI (920) (920) Family Services of Northeast Wisconsin, Inc Spirit Way Green Bay WI Initial ification: 1/12/96 Current: 4/1/04 Expires: 3/31/06 County / State: Brown Frank Bellaire 1332 Family Services of Northeast Wisconsin, Inc. Thomas Martin 626 S. Irwin Street Green Bay, WI (920) Initial ification: 2/1/84 Current: 4/1/03 Expires: 3/31/05 County / State: Brown Mental Health-Day Treatment for Children 1 Frank Bellaire HFS 40.11(2)(a) 1387 Green Bay Wellness & Behavioral Health Clinic Michael Mervilde 125 S. Jefferson Street, #306 Green Bay, WI (414) Initial ification: 7/1/85 Current: 7/1/04 Expires: 6/30/06 County / State: Brown Frank Bellaire 1446 Jackie Nitschke Center, Inc. Judy Glenz 630 Cherry Street Green Bay, WI (920) Jackie Nitschke Center, Inc. 700 N. Pine Street Green Bay WI Initial ification: 6/5/90 Current: 1/1/03 Expires: 12/31/04 County / State: Brown Frank Bellaire CSAS-Medically Monitored HFS Treatment

8 Page 8 of ified Provider Address, Contact, Phone Ka'Ni Kuhli'Yo Family Center Ali Mardan 2640 West Point Road Green Bay, WI (920) Initial ification: 3/11/93 Current: 2/1/03 Expires: 1/31/05 County / State: Brown Frank Bellaire CSAS-Day Treatment HFS Kathleen Bahler & Associates Kathleen Bahler 315 S. Jefferson Street Green Bay, WI (920) (920) Initial ification: 1/1/88 Current: 1/1/03 Expires: 12/31/04 County / State: Brown Frank Bellaire 1505 Libertas Treatment Center Patrick Ryan 1701 Dousman Street Green Bay, WI (920) Initial ification: 9/1/86 Current: 4/1/03 Expires: 3/31/05 County / State: Brown Frank Bellaire CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment 1564 Marriage and Family Therapy Center Gerald Wellens 735 E. Walnut Street Green Bay, WI (920) Initial ification: 10/31/89 Current: 4/1/04 County / State: Brown Expires: 3/31/06 Frank Bellaire 1669 New Wellness Associates, Inc. Diane Moga-Roach 2733 S. Ridge Road Green Bay, WI (920) (920) New Wellness Associates, Inc Crooks Avenue Kaukauna WI Initial ification: 6/1/93 Current: 6/1/04 Expires: 5/31/06 County / State: Brown Frank Bellaire

9 Page 9 of 203 ified Provider Address, Contact, Phone 1743 Prevea Clinic Behavioral Care Linda Schwallie 1543 Park Place Green Bay, WI (920) Prevea Clinic Behavioral Care 958 Foote Street Seymour WI Prevea Clinic Behavioral Care 101 School Creek Trail Luxemburg WI Prevea Clinic Behavioral Care 940 Augustine Street Pulaski WI Prevea Clinic Behavioral Care W3 972 Columbia Avenue Kaukauna WI Prevea Clinic Behavioral Care 1715 Dousman Street Green Bay WI Initial ification: 12/9/96 Current: 1/1/04 County / State: Brown Expires: 12/31/05 Frank Bellaire 1779 Recovery-Works Counseling Services, Inc. Initial ification: 5/2/94 County / State: Brown David Schreiter Current: 7/22/ Pine Street Expires: 8/31/02 Frank Bellaire Green Bay, WI (920) Riverside Counseling, LLC Carole St. Laurent 1575 E. Allouez Avenue Green Bay, WI (920) Initial ification: 11/1/95 Current: 11/1/02 County / State: Brown Expires: 10/31/04 Frank Bellaire 1878 St. Vincent Hospital Amy Henniges 835 S. Van Buren Street Green Bay, WI (920) St. Vincent Hospital 2100 Riverside Drive Green Bay WI Initial ification: 11/15/96 Current: 12/1/02 County / State: Brown Expires: 11/30/04 Frank Bellaire

10 Page 10 of 203 ified Provider Address, Contact, Phone 1880 Still Waters, Inc. of Green Bay Initial ification: 6/1/92 County / State: Brown Barbara Klika Current: 6/1/ S. Ashland Avenue, #104 Expires: 5/31/05 Frank Bellaire Green Bay, WI (920) (920) Synergy Counseling Services Initial ification: 6/7/93 County / State: Brown Neil Van Rossum Current: 6/1/ S. Adams Street, #6 Expires: 5/31/06 Frank Bellaire Green Bay, WI (920) Renaissance Counseling Center Initial ification: 6/8/93 County / State: Brown Patricia Peterson-Bilotto Current: 6/1/ Main Street Expires: 5/31/06 Frank Bellaire Green Bay, WI (920) (920) Villa Hope Community Support Program of Brown County Initial ification: 2/6/96 County / State: Brown Nancy Austin Current: 3/1/ Guns Road Expires: 2/28/06 Frank Bellaire Green Bay, WI (920) Mental Health-Community Support Program HFS Bonnie M. Lee & Associates Bonnie Lee 112 S. Broadway Street, #B Green Bay, WI (920) (920) Initial ification: 12/15/98 Current: 8/1/03 County / State: Brown Expires: 7/31/05 Frank Bellaire 2158 Geri Czarnecki Counseling Services Germaine Czarnecki Initial ification: 11/20/99 Current: 12/1/03 County / State: Brown Executive Office Suites 1039 W. Mason Street Expires: 11/30/05 Frank Bellaire Green Bay, WI (920) Northwest Counseling and Guidance Clinic Green Bay Day Treatment Program Jill Chaffee 123 S. Van Buren Street Green Bay, WI (920) Initial ification: 11/1/99 Current: 11/1/03 Expires: 10/31/05 County / State: Brown Mental Health-Day Treatment for Children 1 Frank Bellaire HFS 40.11(2)(a)

11 Page 11 of 203 ified Provider Address, Contact, Phone 2191 Buechler Therapy Foundation, SC Initial ification: 1/1/00 County / State: Brown DyAnn Buechler Current: 2/1/ W. Mason Street Expires: 1/31/06 Frank Bellaire Green Bay, WI (920) Bellin Psychiatric Center Behavioral Health Clinic Ashwaubenon Stacie Herzog 1630 Commanche Avenue Green Bay, WI (920) Initial ification: 6/30/00 Current: 7/1/02 County / State: Brown Expires: 6/30/04 Frank Bellaire 2264 Riverside Psychiatric Group, SC Nancy Barry 1575 Allouez Avenue Green Bay, WI (920) Initial ification: 12/1/00 Current: 1/1/02 County / State: Brown Expires: 12/31/04 Frank Bellaire 2275 Child and Family Consultants, Inc. W. Bradford Lyles 840 Willard Drive, #201 Green Bay, WI (920) Initial ification: 12/20/00 Current: 1/1/03 County / State: Brown Expires: 12/31/04 Frank Bellaire 2283 Innovative Counseling Cynthia Thomas Initial ification: 12/14/00 Current: 5/1/04 County / State: Brown Cedar Trace Executive Offices 2339 Cedar Ridge Expires: 12/31/04 Frank Bellaire Green Bay, WI (920) Independent Assessment & Counseling Services Kenneth Sann 130 E. Walnut Street, #406 Green Bay, WI (920) Initial ification: 6/22/01 Current: 7/1/04 County / State: Brown Expires: 6/30/06 Frank Bellaire

12 Page 12 of ified Provider Address, Contact, Phone Oneida Adolescent Treatment Center Dave Rynearson 2640 West Point Road Green Bay, WI (920) Initial ification: 9/17/01 Current: 2/1/04 Expires: 1/31/06 County / State: Brown Frank Bellaire Mental Health-Day Treatment for HFS Children (2)(a) CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS Laurie Ferguson & Associates Laurie Ferguson 130 E. Walnut Street, #410 Green Bay, WI (920) Initial ification: 12/12/01 Current: 1/1/04 County / State: Brown Expires: 12/31/04 Frank Bellaire 2381 Brown County Human Services Community Support Program Tammy Snortum 111 N. Jefferson Street Green Bay, WI (920) (920) Initial ification: 6/27/02 Current: 9/1/03 Expires: 8/31/05 County / State: Brown Mental Health-Community Support Program Frank Bellaire HFS Tomahawk Counseling Center Jean Lemanski 2129 S. Oneida Street Green Bay, WI (920) Initial ification: 8/16/02 Current: 9/1/03 County / State: Brown Expires: 8/31/04 Frank Bellaire 2431 Clarity Care Behavioral Health Nancy Knoll-Gartner 2649 Manitowoc Road Green Bay, WI (920) (920) Clarity Care Behavioral Health 424 Washington Avenue Oshkosh WI Initial ification: 2/12/03 Current: 3/1/04 County / State: Brown Expires: 2/28/05 Frank Bellaire 2452 Psychological Consultants of Green Bay Ursula Bertrand 130 E. Walnut Street Green Bay, WI (920) (920) Initial ification: 6/9/03 Current: 6/1/04 Expires: 5/31/05 County / State: Brown Frank Bellaire

13 Page 13 of 203 ified Provider Address, Contact, Phone 2465 Karen Pleshe, MSW, LCSW Karen Pleshe 1039 W. Mason Street Green Bay, WI (920) (920) Initial ification: 8/25/03 Current: 8/25/03 County / State: Brown Expires: 8/31/04 Frank Bellaire 2466 Paula W. Larson Paula Larson 1039 W. Mason Street Green Bay, WI (920) (920) Initial ification: 8/28/03 Current: 8/28/03 County / State: Brown Expires: 8/31/04 Frank Bellaire 2480 Family Behavioral Resources, LLC Carol Burks 2404 Santa Barbara Drive Green Bay, WI (920) (920) Initial ification: 11/10/03 Current: 11/10/03 County / State: Brown Expires: 11/30/04 Frank Bellaire 2496 Janyse L. Bice-Allen, MSW, LCSW- Psychotherapist Janyse Bice-Allen 425 S. Adams Street, #204 Green Bay, WI (920) Initial ification: 1/12/04 Current: 1/12/04 County / State: Brown Expires: 1/31/05 Frank Bellaire 2528 Gail Karwczyk Counseling Services, LLC Gail Krawczyk 1039 W. Mason Street Green Bay, WI (920) (920) Initial ification: 6/23/04 Current: 6/23/04 County / State: Brown Expires: 6/30/05 Frank Bellaire 2190 Choices Counseling, LLC Charmaine Buelow 585 E. Glenbrook Drive Pulaski, WI (920) Initial ification: 2/25/00 Current: 3/1/04 County / State: Brown Expires: 2/28/06 Frank Bellaire 2145 Marriage and Family Health Services, Ltd. Initial ification: 5/1/99 County / State: Buffalo Thomas Johnston Current: 5/1/ Buffalo Street Expires: 4/30/06 K. L. Polly Wong Mondovi, WI (715) Mental Health-Day Treatment for Children 1 HFS 40.11(2)(a)

14 Page 14 of ified Provider Address, Contact, Phone St. Croix Tribal Mental Health/AODA Clinic John Seppanen Angeline Avenue & Hwy. 70 Hertel, WI (715) Round Lake Clinic th Avenue Luck WI Initial ification: 5/1/00 Current: 5/1/03 Expires: 4/30/05 County / State: Burnett Roderic Senn 2147 Northwest Counseling & Guidance Clinic- Northwest Community Support Program Deb Severson 7670 Johnson Street Siren, WI (715) Initial ification: 8/25/99 Current: 5/1/04 Expires: 4/30/06 County / State: Burnett Mental Health-Community Support Program Roderic Senn HFS Northwest Counseling and Guidance Clinic Tim Newlin 7670 Johnson Street Siren, WI (715) Amery Day Treatment 1096 Apple Avenue Amery WI Amery Regional Medical Center 225 Scholl Court Amery WI Burnett County Center 7410 County Road K, #130 Siren WI Northwest Counseling and Guidance Clinic 203 United Way Drive Frederic WI Northwest Counseling and Guidance Clinic 107 Oak Street Frederic WI Northwest Day Treatment 413 S. Main Street Rice Lake WI Northwest Passage I Moline Road P.O. Box 349 Webster WI Northwest Passage II 1161 Hamms Road Spooner WI Initial ification: 8/25/99 Current: 11/1/02 Expires: 10/31/04 County / State: Burnett Roderic Senn Mental Health-Emergency HFS 34.2 Service 2

15 Page 15 of ified Provider Address, Contact, Phone Counseling Associates Inc - Siren Cindy Klein State Rd 35 N Siren, WI (715) (715) Counseling Associates, Inc. - Siren 11 Fifth Avenue Shell Lake WI Counseling Associates, Inc. - Siren 107 W Oak Street Frederic WI Initial ification: 1/28/03 Current: 2/1/04 Expires: 1/31/06 County / State: Burnett Roderic Senn 1120 Calumet County Department of Human Services Mary Kennedy 206 Court Street Chilton, WI (920) Calumet County Department of Human Services 2306 S. Oneida Street Appleton WI Initial ification: 10/1/75 Current: 7/1/04 Expires: 6/30/06 County / State: Calumet Frank Bellaire Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Calumet County Department of Human Services CSP Mary Kennedy 206 Court Street Chilton, WI (920) Initial ification: 7/1/00 Current: 7/1/04 Expires: 6/30/06 County / State: Calumet Mental Health-Community Support Program Frank Bellaire HFS Nelson Family Clinic, LLC Fran Nelson 308 W. Main Street Hilbert, WI (920) Initial ification: 5/11/01 Current: 6/1/04 County / State: Calumet Expires: 5/31/05 Frank Bellaire 1195 Chippewa County Community Support Program Nancy Peloquin 711 N. Bridge Street, #306 Chippewa Falls, WI (715) (715) Initial ification: 4/12/94 Current: 5/1/03 Expires: 4/30/05 County / State: Chippewa Mental Health-Community Support Program K. L. Polly Wong HFS 63

16 Page 16 of ified Provider Address, Contact, Phone Chippewa County Guidance Clinic Nancy Peloquin 711 N. Bridge Street, #122 Chippewa Falls, WI (715) Initial ification: 10/1/75 Current: 12/1/03 Expires: 11/30/05 County / State: Chippewa K. L. Polly Wong Mental Health-Emergency HFS 34.2 Service Council on Alcohol & Other Drug Abuse, Inc. Betty Kleemeier 404-1/2 N. Bridge Street Chippewa Falls, WI (715) Initial ification: 4/1/77 Current: 2/1/03 Expires: 1/31/05 County / State: Chippewa K. L. Polly Wong CSAS-Prevention HFS CSAS-Emergency Outpatient HFS L.E. Phillips Libertas Center Shawna Kovach 2661 County Trunk I Chippewa Falls, WI (715) (715) Initial ification: 10/1/77 Current: 8/1/04 County / State: Chippewa Expires: 10/31/04 K. L. Polly Wong CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment 1569 Marshfield Clinic - Chippewa Center Kathy Ertz 2029 County Highway I Chippewa Falls, WI (715) Initial ification: 3/1/93 Current: 4/1/03 Expires: 3/31/05 County / State: Chippewa K. L. Polly Wong 1828 Serenity House, Inc. Joseph Sumner 205 E. Grand Avenue Chippewa Falls, WI (715) Initial ification: 4/13/94 Current: 12/1/03 County / State: Chippewa Expires: 11/30/04 K. L. Polly Wong CSAS-Transitional Residential HFS Marriage and Family Health Services, Ltd. Thomas Johnston 405 Island Street Chippewa Falls, WI (715) Initial ification: 1/1/03 Current: 1/1/04 Expires: 12/31/05 County / State: Chippewa Mental Health-Day Treatment for Children 1 K. L. Polly Wong HFS 40.11(2)(a)

17 Page 17 of 203 ified Provider Address, Contact, Phone 2219 Crossroads Counseling Services, LLC Initial ification: 9/1/00 County / State: Chippewa Karen Koltis Current: 9/1/ S. Broadway Expires: 8/31/05 K. L. Polly Wong Stanley, WI (715) (715) Clark County Community Services Initial ification: 1/1/84 County / State: Clark Brent Shoup Current: 1/1/ Court Street, Room 503 Expires: 12/31/04 K. L. Polly Wong Neillsville, WI (715) Clark County Health Care Center W4266 State Hwy 29 Owen WI Clark County Community Support Program Initial ification: 4/1/91 County / State: Clark Joel Feist Current: 12/1/03 W4266 State Highway 29 Expires: 11/30/05 K. L. Polly Wong Owen, WI (715) Mental Health-Community Support Program HFS Aspen Family Counseling Initial ification: 1/1/97 County / State: Columbia Barry Erath Current: 4/1/ East Slifer Street, #2 Expires: 12/31/05 Portage, WI (608) (608) Columbia County Community Support Program Pamela Polzer 2901 Hunters Trail Portage, WI (608) Initial ification: 12/1/97 Current: 12/1/03 Expires: 11/30/05 County / State: Columbia Mental Health-Community Support Program HFS Divine Savior Hospital Initial ification: 6/1/86 County / State: Columbia Jan Bauman Current: 6/1/ W. Pleasant Street Expires: 5/31/05 Portage, WI (608) CSAS-Medically Managed Inpatient Detox HFS 75.06

18 Page 18 of ified Provider Address, Contact, Phone Pauquette Ctr for Psychological Services (Community Service Assoc, SC) Douglas Varvil-Weld 2901 Hunters Trail Portage, WI (608) (608) Community Services Associates, SC 1511 Park Avenue Columbus WI Initial ification: 10/8/99 Current: 7/1/04 Expires: 6/30/06 County / State: Columbia Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS CSAS-Day Treatment HFS Poynette Counseling & Psychotherapy Associates, Inc. Velma Haag 415 N. Main Street, #3 Poynette, WI (608) (608) Poynette Counseling & Psychotherapy Associates, Inc Monona Drive Madison WI Initial ification: 7/1/89 Current: 11/1/03 Expires: 10/31/05 County / State: Columbia 1259 Crawford County Human Services Department Sara Ryan 111 W. Dunn Street Prairie du Chien, WI (608) Initial ification: 10/1/75 Current: 4/1/04 County / State: Crawford Expires: 3/31/06 Mental Health-Emergency HFS 34.2 Service Franciscan-Skemp Healthcare Villa Succes Edith Bloxham 121 S. Prairie Street Prairie du Chien, WI (608) (608) Initial ification: 1/1/87 Current: 4/1/04 Expires: 3/31/06 County / State: Crawford CSAS-Prevention HFS CSAS-Emergency Outpatient HFS CSAS-Residential Intoxication HFS Monitoring CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS 75.14

19 Page 19 of ified Provider Address, Contact, Phone Gundersen Lutheran Medical Center, Inc., Behavioral Health Rebecca Cleveland Commerce Court Mall 710 E. Blackhawk Avenue Prairie du Chien, WI (608) Initial ification: 12/1/00 Current: 12/1/03 Expires: 11/30/05 County / State: Crawford 2376 Crawford County Community Support Program Sara J. Ryan Crawford County Human Services 111 W. Dunn Street Prairie du Chien, WI (608) (608) Initial ification: 5/1/02 Current: 5/1/03 Expires: 4/30/05 County / State: Crawford Mental Health-Community Support Program HFS Wyalusing Academy Outpatient Clinic Gerald Boehm 601 S. Beaumont Road Prairie du Chien, WI (608) (608) Initial ification: 3/1/04 Current: 3/1/04 Expires: 2/28/05 County / State: Crawford 1097 Belleville Family Medical Clinic Madonna Binkowski 21 S. Vine Street Belleville, WI (608) (608) Initial ification: 7/1/94 Current: 8/1/04 Expires: 6/30/ Foundations Counseling Center, LLC Alisa Kelly-Martina 619 River Street, #F Belleville, WI (608) (608) Initial ification: 4/1/04 Current: 4/1/04 Expires: 3/31/ Cambridge Counseling Clinic, Inc. Deborah Sullivan 120 E. Main Street Cambridge, WI (608) (608) Initial ification: 1/1/88 Current: 4/1/04 Expires: 12/31/05

20 Page 20 of ified Provider Address, Contact, Phone Meriter Hospital, Inc. Addiction Medicine Robert Gore 202 S. Park Street Madison, WI (608) (608) Initial ification: 1/1/84 Current: 1/1/03 Expires: 12/31/04 Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox CSAS-Medically Managed Inpatient Treatment CSAS-Medically Monitored Treatment HFS HFS HFS Advanced Psychological Innovations, S.C. Nina Bartell 6418 Normandy Lane, #215 Madison, WI (608) Initial ification: 2/2/98 Current: 2/1/04 Expires: 1/31/ Arboretum Counseling Center For Psychotherapy & Sex Therapy Cara Hoffert 921 Chapel Hill Road Madison, WI (608) Initial ification: 11/1/83 Current: 11/1/03 Expires: 10/31/ ARC Community Services, Inc. Madison Robyn Saviano 1409 Emil Street, #100 Madison, WI (608) (608) Initial ification: 3/1/95 Current: 3/1/04 Expires: 2/28/05 CSAS-Day Treatment HFS Arc House Celesta Miller 202 N. Patterson Street Madison, WI (608) (908) Initial ification: 12/1/90 Current: 12/1/03 Expires: 11/30/05 CSAS-Transitional Residential HFS Aspen Counseling Services, LLC Selma Herbst 7818 Big Sky Drive, #109A Madison, WI (608) Initial ification: 6/1/90 Current: 4/28/04 Expires: 6/30/05

21 Page 21 of 203 ified Provider Address, Contact, Phone 1074 Associates - Penny Landvogt, Ph.D. Penny Landvogt 6402 Odana Road Madison, WI (608) Associates - Penny Landvogt, Ph.D. 239 E. Russell Road Janesville WI Initial ification: 11/1/95 Current: 5/1/03 Expires: 10/31/ Attic Correctional Services, Inc. ACS Clinical Services Tiffany Walker 1709 S. Park Street, #1 Madison, WI (608) (608) Attic Correctional Services, Inc. ACS Clinical Services 107 Fourth Street Baraboo WI Initial ification: 4/1/95 Current: 4/1/03 Expires: 3/31/05 CSAS-Day Treatment HFS Birch Springs Center Initial ification: 1/1/89 Jackie Splitter Current: 1/1/ Odana Road Expires: 12/31/04 Madison, WI (608) Capitol Associates, LLC, Inc. Jhona Gerash 440 Science Drive, #200 Madison, WI (608) (608) Initial ification: 11/1/79 Current: 11/1/02 Expires: 10/31/ Catholic Charities, Inc., Central City Counseling Services Initial ification: 1/1/79 Bonnie Loughran Current: 5/1/04 30 S. Franklin Street Expires: 1/31/06 Madison, WI (608) (608) Catholic Charities, Inc., Sun Prairie Office 221 Columbus Street Sun Prairie WI The Center For Christian Counseling, Consultation, and Training Initial ification: 3/1/82 Kevin Randall Current: 3/1/ Wall Street, #500 Expires: 2/28/06 Madison, WI (608) (608)

22 Page 22 of 203 ified Provider Address, Contact, Phone 1148 Center for Counseling and Psychological Services Initial ification: 3/1/82 Linda Garrity Current: 3/1/03 10 E. Doty Street, #403 Expires: 2/28/05 Madison, WI (608) Center For Counseling and Health Initial ification: 9/1/95 Beverly Wolfgram Current: 9/2/ Heartland Trail, #203 Expires: 9/30/04 Madison, WI (608) Center For Counseling and Health 239 E. Russell Road Janesville WI Center For Life & Loss Integration Initial ification: 3/1/95 Judith Koeppl Current: 3/1/ Monona Drive Expires: 2/28/05 Madison, WI (608) (608) Center Point Initial ification: 9/1/97 Sharon Hale Current: 11/1/ Monroe Street Expires: 10/31/04 Madison, WI (608) (608) Child & Family Psychological Services Clinic Initial ification: 7/1/82 Nira Sherz-Busch Current: 7/1/ S. Yellowstone Dr., #218 Expires: 8/31/04 Madison, WI (608) Children's Service Society of Wisconsin Initial ification: 3/1/81 Lon Piper Current: 3/1/ Royal Avenue, #310 Expires: 2/28/05 Madison, WI (608) (608) Children's Service Society of Wisconsin 748 Lois Drive Sun Prairie WI 53590

23 Page 23 of ified Provider Address, Contact, Phone Community Counseling Center of Madison Sharon Barger 7818 Big Sky Drive, #208 Madison, WI (608) Initial ification: 1/1/88 Current: 1/1/04 Expires: 12/31/ Counseling & Psychotherapy Services Bob Smith 2709 Marshall Court Madison, WI (608) Initial ification: 12/1/87 Current: 12/1/03 Expires: 11/30/ Counseling Associates of Madison, S.C. Bernard Verrill 715 Hill Street, #140 Madison, WI (608) (608) Initial ification: 10/1/79 Current: 10/1/02 Expires: 9/30/ Dean Medical Center, Department of Psychiatry Julia Hay 1313 Fish Hatchery Road Madison, WI (608) (608) Initial ification: 2/1/84 Current: 5/1/04 Expires: 4/30/ Family Service Lisa Usgaard 128 E. Olin Avenue, #100 Madison, WI (608) Initial ification: 4/1/77 Current: 10/1/03 Expires: 9/30/05 Mental Health-Day Treatment for HFS Children (2)(a) 1344 Family Therapy Center of Madison, Inc. Bonnie Conway 700 Rayovac Drive, #220 Madison, WI (608) (608) Initial ification: 11/1/79 Current: 11/1/03 Expires: 9/30/ Four Lakes Psychological Services Beverly Hills 2044 Atwood Avenue, #204 (608) Initial ification: 5/1/94 Current: 6/1/04 Expires: 11/30/04

24 Page 24 of 203 ified Provider Address, Contact, Phone 1374 Gateway Recovery - Madison Initial ification: 1/1/92 Michael Waupoose Current: 3/1/03 25 Kessel Court, #200 Expires: 11/30/04 Madison, WI (608) (608) Harmonia Madison Center for Psychotherapy James Powell 406 N. Pinckney Street Madison, WI (608) Harmonia - Madison Center for Psychotherapy 608 Water Street Prairie du Sac WI Initial ification: 11/1/81 Current: 11/1/03 Expires: 10/31/ Psychotherapy and Growth Center Tamara Schlessinger 740 Regent Street, #204 Madison, WI (608) (608) Initial ification: 11/1/90 Current: 11/1/03 Expires: 10/31/ Hope Haven, Inc. Initial ification: 2/1/82 Bruce Nicholas Current: 1/1/ W. Johnson Street Expires: 12/31/04 Madison, WI (608) CSAS-Medically Monitored Treatment HFS Inner Essence Counseling Center Initial ification: 6/1/96 Kristine Gay Current: 7/1/ Monona Drive, #305 Expires: 5/31/06 Madison, WI (608) Isthmus Psychotherapy & Psychiatry, LLP Initial ification: 9/1/96 Tamar Zick Current: 9/1/ S. Bedford Street Expires: 8/31/04 Madison, WI (608) (608)

25 Page 25 of 203 ified Provider Address, Contact, Phone 1493 Lake Monona Psychotherapy & Recovery Center Initial ification: 1/1/89 Sally Stevens Current: 1/1/ John Nolen Drive, #100 Expires: 12/31/04 Madison, WI (608) Lutheran Social Services of Wisconsin & Upper Michigan, Inc. Initial ification: 6/1/82 Meg Groves Current: 7/1/04 5 Odana Court Expires: 6/30/05 Madison, WI (608) (608) LSS Counseling Clinic - Stoughton 1525 N. VanBuren Stoughton WI LSS Counseling Clinic - Sun Prairie 550 Lincoln Drive Sun Prairie WI Madison Counseling Services Initial ification: 6/1/78 Bernard Cesnik Current: 4/1/ Regent Street, #204 Expires: 3/31/05 Madison, WI (608) Madison Health Services Initial ification: 1/1/94 Mike Grassy Current: 1/1/ E. Washington Avenue Expires: 12/31/05 (608) CSAS-Narcotic Treatment HFS Madison Mental Health Services Initial ification: 4/1/81 James McGloin Current: 4/1/ Marshall Court, #1 Expires: 3/31/05 Madison, WI (608) (608) Madison Mental Health Services 715 Hill Street Madison WI 53705

26 Page 26 of ified Provider Address, Contact, Phone Madison Psychiatric Associates, Ltd. Ruth Ann Berkholtz 5534 Medical Circle Madison, WI (608) (608) Madison Psychiatric Associates, Ltd N. Sherman Avenue Madison WI Initial ification: 4/1/78 Current: 2/1/04 Expires: 1/31/ Madison Psychotherapy Associates Dick Russo 1414 E. Washington Avenue, #104 Madison, WI (608) Madison Psychotherapy Associates 6320 Monona Drive, #317 Madison WI Madison Psychotherapy Center Linda Petterson 2803 Marshall Court Madison, WI (608) (608) Initial ification: 10/1/79 Current: 10/1/03 Expires: 9/30/04 Initial ification: 11/1/93 Current: 10/1/02 Expires: 9/30/ Mendota Mental Health Institute Wendy LaBine 301 Troy Drive (608) Initial ification: 10/1/75 Current: 11/1/01 Expires: 10/31/03 Mental Health-Adolescent HFS Inpatient Mental Health-Inpatient HFS Mental Health Associates of Madison, Inc. Judith Hermann 20 S. Park Street, Room 408 Madison, WI (608) Initial ification: 4/1/78 Current: 11/1/02 Expires: 10/31/ Mental Health Center of Dane Co., Inc. Community Treatment Alternatives CSP Dave DeLap 124 W. Mifflin Street Madison, WI (608) Initial ification: 2/1/92 Current: 5/1/04 Expires: 1/31/06 Mental Health-Community Support Program HFS 63

27 Page 27 of ified Provider Address, Contact, Phone UJIMA Counseling Services-Genesis Development Corporation (GDC) Richard Harris 313 W. Beltline Highway Madison, WI (608) Initial ification: 4/1/97 Current: 8/1/03 Expires: 7/31/ Mental Health Center of Dane County Yahara House Gail Marker 802 E. Gorham Street Madison, WI (608) Mental Health Center of Dane County Linda Keys 625 W. Washington Avenue Madison, WI (608) (608) Mental Health Center of Dane County 755 Braxton Place Madison WI Mental Health Center of Dane County 333 W. Dayton Street Madison WI Initial ification: 10/1/75 Current: 4/1/04 Expires: 12/31/04 Mental Health-Day Treatment HFS Initial ification: 10/1/75 Current: 3/1/04 Expires: 2/28/06 Mental Health-Emergency HFS 34.3 Service Mental Health Center of Dane County Cornerstone Community Support Program Corrinda Rainey-Moore 1960 Atwood Avenue (608) Initial ification: 9/1/90 Current: 12/1/03 Expires: 8/31/04 Mental Health-Community Support Program HFS Mental Health Center of Dane County Gateway CSP Brad Schlough 1020 Regent Street Madison, WI (608) Initial ification: 9/1/90 Current: 2/1/03 Expires: 1/31/05 Mental Health-Community Support Program HFS 63

28 Page 28 of 203 ified Provider Address, Contact, Phone 1600 Mental Health Center of Dane County Blacksmith House Community Support Prog Initial ification: 9/1/90 Ed Stohl Current: 12/1/ Williamson Street Expires: 11/30/04 Madison, WI (608) Mental Health-Community Support Program HFS Mental Health Resources Initial ification: 4/1/90 Susan Brown Current: 4/1/ Gammon Place, #290 Expires: 3/31/05 Madison, WI (608) Mental Health Services for Women and Families Initial ification: 2/1/83 Nancy Young Current: 3/1/ Hill Street, #160 Expires: 2/28/05 Madison, WI (608) (608) Mental Health Solutions, SC Initial ification: 1/1/95 John Helf Current: 1/1/ Ganser Way, #204 Expires: 12/31/05 Madison, WI (608) Meriter-New Start Outpatient Clinic West Initial ification: 1/1/88 Amy Mosher-Garvey Current: 1/1/ Gammon Lane Expires: 12/31/04 Madison, WI (608) (608) Midwest Center For Human Services, LLP Initial ification: 8/1/83 James Gerndt Current: 8/1/ Marshall Court #210 Expires: 7/31/04 Madison, WI (608) (608) Midwest Center for Psychotherapy and Sex Therapy Initial ification: 1/1/93 Jane James Current: 11/1/ S. Yellowstone Drive, #226 Expires: 10/31/05 Madison, WI (608)

29 Page 29 of ified Provider Address, Contact, Phone Meriter's Child & Adolescent Psychiatric Hospital Robert Gore 8001 Raymond Road Madison, WI (608) (608) Initial ification: 1/1/84 Current: 2/3/04 Expires: 11/30/04 Mental Health-Day Treatment for Children 1 Mental Health-Adolescent Inpatient HFS 40.11(2)(a) HFS North Bay Lodge Bob Murray 3602 Memorial Drive (608) Initial ification: 2/1/84 Current: 3/1/03 Expires: 11/30/04 CSAS-Transitional Residential HFS NorthStar Counseling Center Steven R. Stein 700 Rayovac Drive, #010 Madison, WI (608) (608) Initial ification: 11/1/91 Current: 7/1/04 Expires: 10/31/04 Mental Health-Day Treatment for HFS Children (2)(a) 1686 Northeast Family Medical Center Faith Lerner 3209 Dryden Drive (608) Initial ification: 9/1/90 Current: 9/1/02 Expires: 8/31/ Program for Assertive Community Treatment (PACT) Jana Lane Frey 108 S. Webster Street Madison, WI (608) Initial ification: 9/1/89 Current: 10/1/03 Expires: 9/30/05 Mental Health-Community Support Program HFS Psychiatric Services, S.C. Laurie Jacobson 2727 Marshall Court Madison, WI (608) (608) Initial ification: 5/1/77 Current: 5/1/04 Expires: 4/30/06

30 Page 30 of ified Provider Address, Contact, Phone Psychology Associates of Madison, LLP Elizabeth Lindner 122 E. Olin Avenue, #220 Madison, WI (608) (608) Initial ification: 7/1/91 Current: 7/1/04 Expires: 6/30/ Hope Haven/Rebos United, Inc. - Chris Farley House Scott Forbes 810 W. Olin Avenue Madison, WI (608) Initial ification: 10/1/93 Current: 3/1/03 Expires: 11/30/04 CSAS-Transitional Residential HFS Regent Mental Health Group Thomas Moran 4510 Regent Street, #2A Madison, WI (608) Initial ification: 9/1/79 Current: 9/1/02 Expires: 8/31/ Samaritan Counseling Center of Southern Wisconsin Dan Feaster 2165 Linden Avenue (608) Initial ification: 9/1/94 Current: 8/1/03 Expires: 7/31/ Schwert AODA Treatment Center Vicki Trebian 3501 Kipling Drive (608) Initial ification: 7/1/92 Current: 7/1/03 Expires: 6/30/05 CSAS-Transitional Residential HFS St. Marys Hospital Medical Center Jackie McLean 707 S. Mills Street Madison, WI (608) (608) Initial ification: 6/1/83 Current: 6/1/04 Expires: 5/31/06 Mental Health-Inpatient HFS Tellurian UCAN, Inc. Melody Music-Twilla 300 Femrite Drive Madison, WI (608) (608) Initial ification: 6/1/93 Current: 6/1/04 Expires: 5/31/06 CSAS-Medically Monitored HFS Treatment

31 Page 31 of ified Provider Address, Contact, Phone Tellurian UCAN Melody Music-Twilla 2914 Industrial Drive Madison, WI (608) (608) Initial ification: 4/1/85 Current: 4/8/04 Expires: 10/31/05 CSAS-Medically Monitored HFS Residential Detox CSAS-Day Treatment HFS The Grief Center-Hospice Care, Inc. Chris Rode 5395 E. Cheryl Parkway Madison, WI (608) Initial ification: 4/1/95 Current: 4/1/03 Expires: 3/31/ The Integral Psychology Center Arden Mahlberg 1619 Monroe Street Madison, WI (608) (608) Initial ification: 5/1/79 Current: 6/1/04 Expires: 4/30/ Moontree Psychotherapy Center Kathryn Ripp 401 Wisconsin Avenue Madison, WI (608) (608) Initial ification: 5/1/88 Current: 6/1/04 Expires: 4/30/ The Psychology Center, S.C. Tim Schultz 6510 Grand Teton Plaza, #406 Madison, WI (608) (608) Initial ification: 1/1/89 Current: 12/1/03 Expires: 11/30/ The Psychology Clinic James Black, PhD 310 N. Midvale Boulevard, #202 Madison, WI (608) Initial ification: 10/1/91 Current: 10/1/02 Expires: 9/30/ The Rainbow Project, Inc. Sharyl Kato 831 E. Washington Avenue Madison, WI (608) (608) Initial ification: 5/1/88 Current: 7/1/04 Expires: 5/31/05

32 Page 32 of ified Provider Address, Contact, Phone The Wisconsin Institute for Psychotherapy & Training Dorothy Helman 1906 Monroe Street Madison, WI (608) (608) Initial ification: 12/1/77 Current: 12/1/03 Expires: 11/30/ Adolescent Alcohol/Drug Abuse Intervention Program Cynthia Green 122 E. Olin Avenue, #275 Madison, WI (608) (608) Initial ification: 11/1/90 Current: 11/1/03 Expires: 10/31/05 CSAS-Prevention HFS University Hospital and Clinics Milli Rolli, MD Inpatient Psychiatry Department 600 Highland Avenue Madison, WI (608) (608) Initial ification: 1/1/87 Current: 11/1/03 Expires: 10/31/05 Mental Health-Inpatient HFS Uplands Counseling Associates, Inc. Stephanie Karwacki 9 Odana Court, #203 Madison, WI (608) Initial ification: 10/1/94 Current: 10/1/03 Expires: 9/30/ Wellspring Psychotherapy and Counseling Center Bryce Mitchell 5610 Medical Circle, Suite 25 Madison, WI (608) Initial ification: 7/1/96 Current: 7/1/03 Expires: 6/30/ Wisconsin Early Autism Project, Inc. Glen Sallows 6402 Odana Road Madison, WI (608) (608) Initial ification: 5/1/97 Current: 7/1/04 Expires: 4/30/ Wisconsin Psychotherapy and Healing Center Kay Phillips 6333 Odana Road Madison, WI (608) (608) Initial ification: 9/1/93 Current: 9/1/02 Expires: 8/31/04

33 Page 33 of 203 ified Provider Address, Contact, Phone 2018 Women's Psychotherapy Centre of Wisconsin, LLC Initial ification: 8/1/88 Mary Kay Neumann Current: 8/1/04 16 N. Carroll Street, #710 Expires: 7/31/06 Madison, WI (608) (608) Woodlands Counseling Centre, LLC Initial ification: 7/1/94 Christine Rainey Current: 7/1/ Schroeder Road Expires: 6/30/06 Madison, WI (608) Women & Families Psychological Services, LLC Initial ification: 9/1/96 Cathy Propper Current: 9/1/ Grand Teton Plaza, #203 Expires: 8/31/04 Madison, WI (608) (608) University of Wisconsin Psychiatric Institute & Clinics Diane Roang 6001 Research Park Boulevard Madison, WI (608) UW-U Station Clinic 2880 University Avenue Madison WI UW-West Clinic 451 Junction Road Madison WI (608) Initial ification: 11/1/98 Current: 1/1/04 Expires: 10/31/ Family Achievement Clinic, SC Initial ification: 8/1/99 Lorelle Goodman Current: 8/1/ Medical Circle Expires: 7/31/04 Madison, WI (608) (608) Manning Counseling Center, Inc. Mary Beth Manning 1050 Regent Street, #201 Madison, WI (608) Initial ification: 12/1/99 Current: 3/1/03 Expires: 11/30/04

34 Page 34 of 203 ified Provider Address, Contact, Phone 2186 Lutheran Counseling & Family Services of Wisconsin, Inc. Chuck Meseck 1021 Spaight Street Madison, WI (800) Initial ification: 1/1/00 Current: 4/1/04 Lutheran Counseling & Family Services of Wisconsin, Inc. 850 Armstrong Street Portage WI Lutheran Counseling & Family Services of Wisconsin, Inc Mineral Point Avenue Janesville WI Expires: 12/31/ Midwest Associated Psychotherapy Center Initial ification: 7/1/00 Harold Rosenberg Current: 7/1/ Big Sky Drive, #207 Expires: 6/30/06 Madison, WI (608) (608) The Family Resource Group Dennis Vandermausse 313 Price Place, #106 Madison, WI (608) Initial ification: 10/1/00 Current: 10/1/03 Expires: 9/30/ Birch Springs - East Kaitlyn Laurie 6320 Monona Drive, #312 Madison, WI (608) Initial ification: 12/1/00 Current: 12/1/02 Expires: 11/30/ Orion Family Services, Inc. Hugh Meyers 6333 Odana Road Madison, WI (608) (608) Initial ification: 7/12/01 Current: 8/1/02 Expires: 7/31/ Counseling Solutions Susan LeGrand-Levine 4510 Regent Street Madison, WI (608) Initial ification: 7/12/01 Current: 2/1/04 Expires: 7/31/04

35 Page 35 of 203 ified Provider Address, Contact, Phone 2359 Dean Medical Center, Department of Psychiatry - Dean West Clinic Initial ification: 7/1/01 David Dowell Current: 7/1/ N. High Point Road Expires: 6/30/05 Madison, WI (608) Integrated Development Services, Inc. Initial ification: 9/1/02 Andrew Paulson Current: 9/1/03 14 Ellis Potter Court, #200 Expires: 8/31/04 Madison, WI (608) (608) Integrated Development Services, Inc. at Rosenberry Road 2102 Rosenberry Road, #2 Madison WI Connections Counseling Initial ification: 1/1/03 Shelly Dutch Current: 4/1/ River Place, #4 Expires: 3/31/05 Madison, WI (608) (608) Thomas and Associates Services, LLC, Mental Health & AODA Treament Center Initial ification: 2/1/03 Gerald Thomas Current: 6/1/ S. Park Street Expires: 8/31/04 Madison, WI (608) (608) Pathfinder of Dane County - Hope Haven - Rebos United, Inc. Initial ification: 5/1/03 Kate Ihus Current: 6/1/ Memorial Drive, #116 Expires: 4/30/05 (608) (608) CSAS-Day Treatment HFS Juvenile Assessment and Treatment Center, LLC Lorrie Roller 2453 Atwood Avenue, Suite 102 (608) (608) Initial ification: 12/1/03 Current: 12/1/03 Expires: 11/30/04

36 Page 36 of 203 ified Provider Address, Contact, Phone 2519 Living Well Counseling Services, LLC Initial ification: 5/1/04 Debbie Marks Current: 5/1/ Monona Drive, #305 Expires: 4/30/05 Madison, WI (608) (608) Dean Medical Center, Department of Psychiatry Initial ification: 5/1/04 Deborah Moen Current: 5/1/ S. Stoughton Road Expires: 4/30/05 Madison, WI (608) (608) Aro Counseling Centers, Inc. Initial ification: 7/1/04 Mary Beth Manning Current: 7/1/ Regent Street, #102 Expires: 6/30/05 Madison, WI (608) (608) CSAS-Day Treatment HFS Community Care Resources, Inc. Initial ification: 2/1/94 Daniel Simon Current: 4/1/ Stonefield Road Expires: 3/31/05 Middleton, WI (608) Community Care Resources, Inc. - Grant County 8820 Hwy 35 & 61 South Box 447 Lancaster WI Waldron, Kriss and Associates Kenneth Waldron 6702 Stonefield Road, #A Middleton, WI (608) (608) Initial ification: 10/1/00 Current: 3/1/03 Expires: 9/30/ Network Day Treatment Initial ification: 2/1/95 William McCauliffe-Schroeder Current: 8/1/ Femrite Drive, #205 Expires: 7/31/05 Monona, WI (608) CSAS-Day Treatment HFS 75.12

37 Page 37 of 203 ified Provider Address, Contact, Phone 2513 Oregon Mental Health Services Initial ification: 5/1/04 Mary Sella Current: 5/1/ Pleasant Oak Drive, #A Expires: 4/30/05 Oregon, WI (608) (608) Stoughton Family Counseling Center Initial ification: 6/1/80 David Druckenbrod Current: 11/1/03 Doctors Park 1520 Vernon Street Expires: 10/31/05 Stoughton, WI (608) (608) Stoughton Hospital-ROSE Program Initial ification: 9/1/97 Jeannie Jundt Current: 9/1/ Ridge Street, 1st Floor Expires: 8/31/04 Stoughton, WI (608) Mental Health-Inpatient HFS Dean Medical Center, Department of Psychiatry Initial ification: 5/1/95 Raymond Kozial Current: 6/1/04 10 Tower Drive Expires: 4/30/06 Sun Prairie, WI (608) (608) Prairie Counseling Services Initial ification: 7/1/78 David Schumacher Current: 8/1/ W. Main Street Expires: 6/30/06 Sun Prairie, WI (608) (608) Sun Prairie Psychological Services Initial ification: 8/1/92 Lawrence Stava Current: 8/1/ W. Main Street Expires: 7/31/04 Sun Prairie, WI (608) Phoenix Counseling, Ltd. David Kuykendall 1500 W. Main Street, #300B Sun Prairie, WI (608) (608) Initial ification: 5/27/02 Current: 6/1/03 Expires: 5/31/05

38 Page 38 of 203 ified Provider Address, Contact, Phone 1912 The Family Place Carolyn Moynihan 8283 N. Riley Road Verona, WI (608) (608) Initial ification: 10/1/89 Current: 11/1/03 Expires: 10/31/ Verona Family Medical Clinic Initial ification: 6/1/97 Jill Davis Current: 6/1/ North Nine Mound Road Expires: 5/31/06 Verona, WI (608) Georgia's Garden Recovery Center Initial ification: 3/1/04 Sarah Groth Current: 3/1/ Sunset Meadow Drive Expires: 2/28/05 Windsor, WI (608) (608) CSAS-Transitional Residential HFS Affiliated Counseling Center Sandra Schweifel 108 N. Lincoln Avenue Beaver Dam, WI (920) (920) Affiliated Counseling Center 17 Forest Avenue Fond du Lac WI Initial ification: 11/1/89 Current: 1/1/03 County / State: Dodge Expires: 9/30/ LSS Counseling Clinic - Beaver Dam Initial ification: 7/1/89 County / State: Dodge Meg Graves Current: 7/1/ N. Center Street Expires: 6/30/05 Beaver Dam, WI (608) (608) LSS Counseling Clinic - Fort Atkinson 311 N. Main Street Fort Atkinson WI Psychiatric Associates Kenneth Graupner 200 Front Street, #3D Beaver Dam, WI (920) (920) Psychiatric Associates W1898 Cty AW Randolph WI Initial ification: 10/1/84 Current: 1/31/03 County / State: Dodge Expires: 9/30/04

39 Page 39 of ified Provider Address, Contact, Phone Dodge County Human Services and Health Department Terry Deal 199 Home Road Juneau, WI (920) (920) Initial ification: 10/1/75 Current: 3/1/04 Expires: 2/28/05 County / State: Dodge Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Dodge County Human Services Department Community Support Program Terrance Deal 199 Home Road Juneau, WI (920) Initial ification: 1/1/99 Current: 10/1/03 Expires: 9/30/05 County / State: Dodge Mental Health-Community Support Program HFS Temenos Counseling - Watertown Fred Gustafson 123 Hospital Drive, #114 Watertown, WI (920) Initial ification: 7/1/04 Current: 7/1/04 Expires: 6/30/05 County / State: Dodge Mark Isaacs 1228 Community Psychological Services of Waupun, LLC Robert DeYoung 1208 S. Watertown Street Waupun, WI (920) Initial ification: 6/1/83 Current: 7/1/04 Expires: 7/31/04 County / State: Dodge 1250 Counseling Associates of Door County Robert M Valentine 620 N. 12th Avenue Sturgeon Bay, WI (920) Initial ification: 11/16/93 Current: 12/1/02 County / State: Door Expires: 11/30/04 Frank Bellaire

40 Page 40 of ified Provider Address, Contact, Phone Door County Department of Community Programs Mark Morrison 421 Nebraska Street Sturgeon Bay, WI (920) Initial ification: 1/1/78 Current: 10/1/02 Expires: 9/30/04 County / State: Door Frank Bellaire Mental Health-Emergency HFS 34.3 Service Door County Memorial Hospital Jeffrey Wilson 323 S. 18th Avenue Sturgeon Bay, WI (920) Initial ification: 8/1/77 Current: 9/1/03 Expires: 8/31/04 County / State: Door CSAS-Medically Managed Inpatient Detox Frank Bellaire HFS Door County Department of Community Programs Community Support Program Mark Morrison 421 Nebraska Street Sturgeon Bay, WI (920) Initial ification: 10/1/99 Current: 4/1/03 Expires: 3/31/04 County / State: Door Mental Health-Community Support Program Frank Bellaire HFS Family Services of Northeast Wisconsin, Inc. Thomas Martin 827 N. 8th Avenue Sturgeon Bay, WI (920) Initial ification: 6/1/03 Current: 7/1/04 Expires: 6/30/05 County / State: Door Mental Health-Day Treatment for Children 1 Frank Bellaire HFS 40.11(2)(a) 1423 HRC Mental Health Center Steve Engelson 39 N. 25th Street East Superior, WI (715) Initial ification: 12/1/82 Current: 7/1/04 County / State: Douglas Expires: 6/30/05 Roderic Senn Mental Health-Emergency HFS 34.2 Service Lutheran Social Services of Wisconsin and Upper Michigan, Inc. John Ball 2231 Catlin Avenue Superior, WI (715) Initial ification: 2/12/98 Current: 7/1/03 County / State: Douglas Expires: 6/30/05 K. L. Polly Wong

41 Page 41 of ified Provider Address, Contact, Phone The Recovery Center, Inc. Holly Strop 1500 N. 34th Street, #500 Superior, WI (715) Initial ification: 7/1/77 Current: 5/1/04 Expires: 10/31/05 County / State: Douglas Roderic Senn CSAS-Prevention HFS CSAS-Emergency Outpatient HFS CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS The Superior Treatment Center, Inc. James Skoviera 1507 Tower Avenue, #307 Superior, WI (715) Initial ification: 2/1/97 Current: 3/1/03 Expires: 2/28/05 County / State: Douglas Roderic Senn 2074 Superior Day Treatment Program Northwest Counseling and Guidance Clinic Jill Chaffee 1412 East Second Street Superior, WI (715) Initial ification: 10/1/98 Current: 10/1/03 Expires: 9/30/04 County / State: Douglas Mental Health-Day Treatment for Children 1 Roderic Senn HFS 40.11(2)(a) 2312 HRC Mental Health Center Community Support Program Steve Engelson 39 N. 25th Street East Superior, WI (715) (715) Initial ification: 12/1/82 Current: 7/1/04 Expires: 6/30/06 County / State: Douglas Mental Health-Community Support Program Roderic Senn HFS 63

42 Page 42 of ified Provider Address, Contact, Phone Access Center Andy Wolf 406 Technology Drive, East, #B Menomonie, WI (715) Access Center 112 Central Owen WI Access Center 102 Industrial Boulevard New Richmond WI Access Center 113 East Walnut Street River Falls WI Access Center 12 W. Marshall, #104 Rice Lake WI Access Center 112 E. Main Street Arcadia WI Access Center 1729 Westgate Road Eau Claire WI Access Center 804 W. Ninth Street, North, #B Ladysmith WI Initial ification: 8/1/96 Current: 8/1/03 Expires: 7/31/05 County / State: Dunn Roderic Senn Mental Health-Emergency HFS 34.2 Service Arbor Place, Inc. Pam Haukeness st Street NE Menomonie, WI (715) Arbor Place, Inc. 394 Red Cedar Street Menomonie WI Dunn County Jail 615 Stokka Parkway Menomonie WI Initial ification: 12/1/93 Current: 3/6/03 County / State: Dunn Expires: 9/30/04 Roderic Senn CSAS-Prevention HFS CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS CSAS-Transitional Residential HFS Dunn County Department of Human Services Outpatient Mental Health Clinic Jeff Imler 808 Main Street Menomonie, WI (715) Initial ification: 1/1/81 Current: 6/1/04 Expires: 5/31/06 County / State: Dunn Roderic Senn

43 Page 43 of 203 ified Provider Address, Contact, Phone 1780 Red Cedar Clinic - Mayo Health System Terry Linzmeier 2211 Stout Road, Level A Menomonie, WI (715) Initial ification: 11/1/92 Current: 11/1/03 County / State: Dunn Expires: 10/31/05 Roderic Senn 2055 Dunn County Community Support Program Initial ification: 6/1/98 County / State: Dunn Jeff Imler Current: 6/1/ Main Street Expires: 5/31/05 Roderic Senn Menomonie, WI (715) Mental Health-Community Support Program HFS Affinity House Initial ification: 3/1/92 County / State: Eau Claire Lynda Olson Current: 3/1/ Kilbourne Avenue Expires: 2/28/06 K. L. Polly Wong Eau Claire, WI (715) (715) CSAS-Transitional Residential HFS Caillier Clinic, Ltd. Initial ification: 1/1/83 County / State: Eau Claire Paul Caillier Current: 12/1/ S. Dewey, #101 Expires: 11/30/04 Roderic Senn Eau Claire, WI (715) Caillier Clinic, Ltd 320 North Main Street Rice Lake WI Children's Service Society of Wisconsin Initial ification: 9/1/83 County / State: Eau Claire Lon Piper Current: 1/1/ Highland Avenue Expires: 12/31/05 Roderic Senn Eau Claire, WI (715) Clearwater Counseling and Personal Growth Center, Inc. Janice O'Connor 4330 Golf Terrace, Suite 213M Eau Claire, WI (715) (715) Initial ification: 9/4/90 Clearwater Counseling and Personal Growth Center, Inc. 705 Bay Street Chippewa Falls WI Current: 10/1/03 Expires: 9/30/04 County / State: Eau Claire Roderic Senn

44 Page 44 of 203 ified Provider Address, Contact, Phone 1292 Eau Claire Academy, Division of Clinicare Corporation Initial ification: 2/1/94 County / State: Eau Claire Charles Albrent Current: 3/1/ N. Dewey Street, Unit 4 & 5 Expires: 2/28/05 Roderic Senn Eau Claire, WI (715) CSAS-Transitional Residential HFS Eau Claire County Department of Human Services CSP Initial ification: 1/1/90 County / State: Eau Claire Roy Sargeant Current: 3/1/ Oxford Avenue Expires: 2/28/05 Roderic Senn Eau Claire, WI (715) Mental Health-Community Support Program HFS First Things First, Ltd. Initial ification: 8/1/90 County / State: Eau Claire Edward Ramsey Current: 8/1/ Heights Drive, #2D Expires: 7/31/05 Roderic Senn Eau Claire, WI (715) (715) Heinz Psychological Service, Ltd. Initial ification: 8/1/90 County / State: Eau Claire Harlan Heinz Current: 9/1/ S. Hastings Way Expires: 8/31/05 Roderic Senn Eau Claire, WI (715) Luther Hospital Initial ification: 6/1/81 County / State: Eau Claire Janet Goodwin Current: 12/1/ Whipple Street Expires: 11/30/04 K. L. Polly Wong Eau Claire, WI (715) Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS 75.06

45 Page 45 of 203 ified Provider Address, Contact, Phone 1512 Luther/Midelfort Behavioral Health Janet Goodwin 1221 Whipple Street Eau Claire, WI (715) Barron Clinic - Midelfort Clinic 1220 E. Woodland Avenue Barron WI Chippewa Falls Midelfort Clinic 611 First Avenue Chippewa Falls WI Midelfort Clinic Pediatric Department 733 W. Clairemont Avenue Eau Claire WI Initial ification: 10/1/81 Current: 4/1/04 County / State: Eau Claire Expires: 12/31/05 K. L. Polly Wong CSAS-Day Treatment HFS Lutheran Counseling and Family Services of Wisconsin Initial ification: 4/1/91 County / State: Eau Claire Chuck Meseck Current: 4/1/ Fall Street Expires: 3/31/05 Roderic Senn Eau Claire, WI (888) Lutheran Social Services of Wisconsin and Upper Michigan, Inc. Initial ification: 9/1/80 County / State: Eau Claire John Yungerberg Current: 7/1/ W. Clairemont Avenue, #1A Expires: 6/30/05 K. L. Polly Wong Eau Claire, WI (715) Lutheran Social Services-Eau Claire 910-9th Street Menomonie WI Lutheran Social Services-Eau Claire 24 W. Newton Rice Lake WI Lutheran Social Services-Eau Claire 28 E. Columbia Street Chippewa Falls WI Lutheran Social Services-Eau Claire 920-3rd Street Hudson WI Lutheran Social Services-Eau Claire 202 S. Second Street River Falls WI Lutheran Social Services-Eau Claire 229 W. Main Street Ellsworth WI 54011

46 Page 46 of ified Provider Address, Contact, Phone Lutheran Social Services-Fahrman Center Richard Williams 3136 Craig Road Eau Claire, WI (715) (715) Initial ification: 11/1/86 Current: 1/1/04 Expires: 6/30/04 County / State: Eau Claire K. L. Polly Wong CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Marriage and Family Health Services, Ltd. Thomas Johnston 2016 Brackett Avenue Eau Claire, WI (715) Marriage and Family Health Services 250 Buffalo Street Mondovi WI Initial ification: 9/1/83 Current: 5/1/04 Expires: 4/30/06 County / State: Eau Claire Roderic Senn Mental Health-Day Treatment for HFS Children (2)(a) Marriage And Family Health Services 612 E. Warden Avenue Ladysmith WI Marriage and Family Health Services, Ltd th Avenue, West Durand WI Marriage and Family Health Services, Ltd. 132 W. Columbia Street Chippewa Falls WI Omne Clinic, Inc. Initial ification: 10/1/87 County / State: Eau Claire Anton Smets Current: 10/1/03 W. Riverside Building, #240/ W. Madison Expires: 9/30/05 Street Eau Claire, WI (715) (715) Omne Clinic Family Medicine 806 S. Farwell Street Eau Claire WI Omne Clinic, Inc. 233 E. LaSalle Street Barron WI Roderic Senn Mental Health-Emergency HFS 34.3 Service Brotoloc Health Care Systems Mental Health Clinic Janine Zeutschel 2710 Town Hall Road Eau Claire, WI (715) Initial ification: 4/2/94 Current: 8/1/00 Expires: 7/31/02 County / State: Eau Claire Roderic Senn

47 Page 47 of ified Provider Address, Contact, Phone Triniteam, Inc. David Kihl 202 Graham Avenue Eau Claire, WI (715) Initial ification: 3/1/89 Current: 4/1/04 Expires: 9/30/04 County / State: Eau Claire Roderic Senn 1998 WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling Philip Koestler 1725 Westgate Road Eau Claire, WI (715) Redeemer Lutheran Church 520 E. Orchard Beach Lane (715) Rice Lake WI Initial ification: 5/1/90 Current: 8/1/04 Expires: 7/31/06 County / State: Eau Claire Roderic Senn St. John Evangical Lutheran Church 711 W. Fifth Street Neillsville WI Sacred Heart Hospital Stephen Ronstrom 900 W. Clairemont Avenue Eau Claire, WI (715) Initial ification: 2/1/82 Current: 1/1/03 Expires: 12/31/04 County / State: Eau Claire Roderic Senn Mental Health-Adolescent HFS Inpatient Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS Lutheran Social Services-Touchstones Center Laurie Lessard 211 Eau Claire Street Eau Claire, WI (715) (715) Initial ification: 7/1/99 Current: 7/1/04 Expires: 6/30/06 County / State: Eau Claire K. L. Polly Wong 2188 Catholic Charities of the Diocese of La Crosse Jeffrey Court 204 E. Grand Avenue Eau Claire, WI (715) Initial ification: 1/14/00 Current: 1/1/02 County / State: Eau Claire Expires: 12/31/04 Roderic Senn

48 Page 48 of 203 ified Provider Address, Contact, Phone 2203 Marshfield Clinic - Eau Claire Center Kathleen Ertz 2102 Craig Road Eau Claire, WI (715) (715) Marshfield Clinic - Menomonie Center 3603 Schneider Avenue Menomonie WI Initial ification: 2/14/00 Current: 2/1/03 County / State: Eau Claire Expires: 1/31/05 Roderic Senn 2306 Southwoods Counseling Clinic Cynthia Leavitt 4714 Commerce Valley Road Eau Claire, WI (715) Initial ification: 5/14/01 Current: 5/1/04 County / State: Eau Claire Expires: 4/30/06 Roderic Senn 2421 Northwest Counseling & Guidance Clinic- Eau Claire Day Treatment Initial ification: 2/5/03 County / State: Eau Claire Jill Chaffee Current: 2/1/ Warden Street Expires: 1/31/06 Roderic Senn Eau Claire, WI (715) (715) Mental Health-Day Treatment for Children 1 HFS 40.11(2)(a) 2440 Wisconsin Early Autism Project, Inc. Glen O. Sallows 2125 Heights Drive, #2F Eau Claire, WI (715) Initial ification: 5/12/03 Current: 6/1/04 County / State: Eau Claire Expires: 5/31/05 Roderic Senn 2447 Eau Claire Department of Human Services / Omne Roy Sargeant 221 W Madison Street, Ste Eau Claire, WI (715) Initial ification: 10/1/02 Current: 10/1/02 Expires: 9/30/03 County / State: Eau Claire Mental Health-Emergency Service 3 Roderic Senn HFS Beacon House Mary Gerlach 166 S. Park Avenue Fond du Lac, WI (920) Initial ification: 5/28/93 Current: 6/1/04 County / State: Fond Du Lac Expires: 5/31/06 Frank Bellaire CSAS-Transitional Residential HFS 75.14

49 Page 49 of ified Provider Address, Contact, Phone Blandine House, Inc. John Vercauteren 25 N. Park Avenue Fond du Lac, WI (920) Initial ification: 1/8/91 Current: 1/1/03 Expires: 12/31/04 County / State: Fond Du Lac Frank Bellaire CSAS-Transitional Residential HFS Catholic Charities Diane Knight 191 S. Main Street Fond du Lac, WI (920) Initial ification: 7/1/94 Current: 7/1/04 Expires: 6/30/06 County / State: Fond Du Lac Frank Bellaire 1248 Counseling and Wellness Center, SC David Small 349 Winnebago Drive Fond du Lac, WI (920) Initial ification: 3/10/93 Current: 4/1/04 County / State: Fond Du Lac Expires: 3/31/05 Frank Bellaire 1274 Delta Center David Wiltzius 196 E. Third Street Fond du Lac, WI (920) (920) Initial ification: 1/18/89 Current: 1/1/02 County / State: Fond Du Lac Expires: 12/31/04 Frank Bellaire 1350 Fond du Lac County Department of Community Programs J.R. Musunuru 459 E. First Street Fond du Lac, WI (920) Initial ification: 7/1/78 Current: 1/1/04 Expires: 12/31/05 County / State: Fond Du Lac Frank Bellaire Mental Health-Day Treatment HFS Mental Health-Emergency HFS 34.3 Service 3 Mental Health-Inpatient HFS CSAS-Prevention HFS CSAS-Emergency Outpatient HFS CSAS-Medically Managed HFS Inpatient Detox

50 Page 50 of ified Provider Address, Contact, Phone Lutheran Counseling and Family Services of Wisconsin, Inc. Chuck Meseck 260 Vincent Street Fond du Lac, WI (888) (715) Initial ification: 10/1/85 Current: 8/1/04 Lutheran Counseling and Family Services of Wisconsin, In 1228 S. Park Avenue Neenah WI Lutheran Counseling and Family Services of Wisconsin, In 168 Mound Street Berlin WI Lutheran Counseling and Family Services of Wisconsin, In 505 N. Palmatory Horicon WI Expires: 7/31/05 County / State: Fond Du Lac Frank Bellaire 1847 St. Agnes Hospital Behavioral Health Services James Salasek 430 E. Division Street Fond du Lac, WI (920) St. Agnes Hospital Behavioral Health Services 620 W. Brown Street Waupun WI Initial ification: 5/1/80 Current: 1/1/04 Expires: 12/31/05 County / State: Fond Du Lac Frank Bellaire Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS CSAS-Transitional Residential HFS Stress Management Counseling Frank Scannell 845 E. Merrill Avenue Fond du Lac, WI (920) Initial ification: 10/16/89 Current: 11/1/03 County / State: Fond Du Lac Expires: 10/31/05 Frank Bellaire 2060 Associated Counseling & Recovery Center, LLC Judith Pollard 551 W. Johnson Street Fond du Lac, WI (920) Initial ification: 10/12/98 Current: 3/30/04 County / State: Fond Du Lac Expires: 10/31/04 Frank Bellaire

51 Page 51 of 203 ified Provider Address, Contact, Phone 2226 Doll and Associates Initial ification: 7/5/00 County / State: Fond Du Lac Elizabeth Rogers-Doll Current: 6/1/03 40 Camelot Drive Expires: 5/31/05 Frank Bellaire Fond du Lac, WI (920) (920) Inside/Out Counseling and Diagnosic Center Peggy Dennison 104 S. Main Street, #711 Fond du Lac, WI (920) Inside/Out Counseling and Diagnostic Center 107 Front Street Beaver Dam WI Initial ification: 2/2/01 Current: 3/1/03 Expires: 2/28/05 County / State: Fond Du Lac Frank Bellaire 2358 ARC Community Services, Inc. Fond du Lac Norman Briggs 27 East Third St, #B Fond du Lac, WI (920) Initial ification: 3/22/02 Current: 4/1/04 County / State: Fond Du Lac Expires: 3/31/06 Frank Bellaire CSAS-Day Treatment HFS Aurora Behavioral Health Center - Fond du Lac Katherine M. Connelly 210 Wisconsin American Drive Fond du Lac, WI (920) Initial ification: 10/8/02 Current: 11/1/03 County / State: Fond Du Lac Expires: 10/31/05 Frank Bellaire 1351 Forest County Potawatomi Behavioral Health Department Betty Thunder 5409 Everybodys Road Crandon, WI (715) (715) Initial ification: 4/1/94 Current: 4/1/03 Forest Co Potawatomi Behavioral Hlth Dpt Wabeno School 4346 Mill Lane Wabeno WI Expires: 3/31/05 County / State: Forest Steven Ojibway 1470 Koller Behavioral Health a Division of Howard Young Medical Chris Hartlep 213 E. Madison Crandon, WI (715) Initial ification: 6/27/89 Current: 5/1/01 County / State: Forest Expires: 4/30/03 Steven Ojibway

52 Page 52 of ified Provider Address, Contact, Phone Sokaogon Chippewa Health Clinic Fred Johnston 3163 State Highway 55 Crandon, WI (715) (715) Initial ification: 2/28/00 Current: 10/1/03 Expires: 9/30/05 County / State: Forest Steven Ojibway 2481 St. Mary's Hospital/Ministry Behavioral Health-Northern Region Andrea Maulson 209 E. Elm Street Crandon, WI (715) Initial ification: 6/1/03 Current: 6/1/04 Expires: 5/31/06 County / State: Forest Steven Ojibway 1109 Boscobel Area Health Care Jody Gallaway 205 Parker Street Boscobel, WI (608) Initial ification: 5/1/86 Current: 8/1/02 Expires: 7/31/04 County / State: Grant Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox 1406 Heartland Clinic Yvonne Zubaty 1515 Elm Street Boscobel, WI (608) (608) Initial ification: 12/1/89 Current: 12/1/03 County / State: Grant Expires: 11/30/ Southwest Health Center Senior Behavioral Science Jean Scallon 808 S. Washington Street Cuba City, WI (608) (608) Initial ification: 3/1/00 Current: 3/1/04 Expires: 2/28/06 County / State: Grant Mental Health-Inpatient HFS Unified Community Services Community Support Program Neal Blackburn 200 W. Alona Lane Lancaster, WI (608) (608) Initial ification: 7/1/94 Current: 10/1/02 Expires: 9/30/04 County / State: Grant Mental Health-Community Support Program HFS 63

53 Page 53 of ified Provider Address, Contact, Phone Unified Community Services J. Neal Blackburn 200 W. Alona Lane Lancaster, WI (608) (608) Initial ification: 10/1/75 Current: 7/1/04 Expires: 6/30/06 County / State: Grant Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Platteville Family Resource Center, Inc. Marc K. Wruble 1250 E. Hwy. 151, Suite D Platteville, WI (608) (715) Platteville Family Resource Center, Inc. 731 Clay Street Darlington WI Initial ification: 9/8/95 Current: 10/1/02 Expires: 9/30/04 County / State: Grant 2014 WKM Psychology Clinic William Miller 1370 N. Water Street Platteville, WI (608) (608) WKM Psychology Clinic 500 S. Madison Lancaster WI Initial ification: 8/1/84 Current: 8/1/02 Expires: 7/31/04 County / State: Grant WKM Psychology Clinic 280 Bluff Street Dubuque IA Green County Human Services Greg Holcomb N3152 State Road 81 Monroe, WI (608) Initial ification: 10/1/75 Current: 1/1/04 County / State: Green Expires: 12/31/05 Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS 75.05

54 Page 54 of ified Provider Address, Contact, Phone The Monroe Clinic Rachel Long nd Avenue Monroe, WI (608) (608) Brodhead Branch of The Monroe Clinic 1904 First Center Avenue Brodhead WI Freeport Branch of The Monroe Clinic 1301 Kiwanis Drive Freeport IL New Glarus Branch of The Monroe Clinic 507 Duerst Valley Road New Glarus WI Initial ification: 5/1/81 Current: 8/1/02 Expires: 7/31/04 County / State: Green 2328 Green County Human Services Community Support Program Greg Holcomb N 3152 State Road 81 Monroe, WI (608) Initial ification: 1/1/00 Current: 1/1/04 Expires: 12/31/05 County / State: Green Mental Health-Community Support Program HFS Green Lake County Department of Health & Human Services Linda Van Ness 500 Lake Steel Street Green Lake, WI (920) Initial ification: 4/1/77 Current: 11/1/02 Expires: 10/31/04 County / State: Green Lake Frank Bellaire Mental Health-Emergency HFS 34.2 Service 2 CSAS-Prevention HFS CSAS-Emergency Outpatient HFS Green Lake County Department of Health & Human Services CSP Linda Van Ness 550 Lake Steel Street Green Lake, WI (920) Initial ification: 11/1/00 Current: 11/1/02 Expires: 10/31/04 County / State: Green Lake Mental Health-Community Support Program Frank Bellaire HFS Counseling Center of Southwest Wisconsin Susan Liljegren 229 N. Iowa Street Dodgeville, WI (608) (608) Initial ification: 4/18/95 Current: 5/17/04 County / State: Iowa Expires: 4/30/05

55 Page 55 of 203 ified Provider Address, Contact, Phone 1942 Unified Community Services J. Neal Blackburn 1122 Professional Drive Dodgeville, WI (608) (608) Initial ification: 10/1/75 Current: 7/1/04 County / State: Iowa Expires: 6/30/ Uplands Counseling Associates Initial ification: 7/1/88 County / State: Iowa Christine Tsubokura Current: 7/1/ S. Iowa Street Expires: 6/30/06 Dodgeville, WI (608) (608) Iron County Human Services Department and Associates Carolyn Kolson-Janov 300 Taconite Street, #201 Hurley, WI (715) Initial ification: 3/1/02 Iron County Human Services Department and Associates 2657 Railroad Street Mercer WI Current: 3/1/03 Expires: 2/28/05 County / State: Iron Steven Ojibway CSAS-Prevention HFS Black River Memorial Hospital Initial ification: 1/1/77 County / State: Jackson Mary Beth White-Jacobs Current: 4/1/ W. Adams Street Expires: 3/31/05 K. L. Polly Wong Black River Falls, WI (715) CSAS-Medically Managed Inpatient Detox HFS Ho-Chunk Nation Alcohol/Drug Program Services Initial ification: 5/1/92 County / State: Jackson Terry Little Wolf Current: 11/1/03 W9855 Airport Road Expires: 10/31/05 K. L. Polly Wong Black River Falls, WI (715) (715) Krohn Clinic, Ltd. Initial ification: 2/1/88 County / State: Jackson Liz Lund Current: 5/1/ W. Adams Street Expires: 4/30/05 K. L. Polly Wong Black River Falls, WI (715)

56 Page 56 of 203 ified Provider Address, Contact, Phone 1482 L.E. Phillips Satellite Outpatient Program Shawna Kovach 420 Highway 54 West P. O. Box 457 Black River Falls, WI (715) (715) Initial ification: 10/1/94 Current: 10/1/03 County / State: Jackson Expires: 9/30/05 K. L. Polly Wong 2260 Garson Growth and Counseling Services Bradley Garson 54 N. First Street Black River Falls, WI (715) Initial ification: 10/4/00 Current: 10/1/03 County / State: Jackson Expires: 9/30/05 K. L. Polly Wong 2492 Family and Children's Center Jackson County CSP Initial ification: 1/1/04 County / State: Jackson Sheri Bohland-Sandy Current: 1/1/ Fillmore Street Expires: 12/31/04 Roderic Senn Black River Falls, WI (608) Mental Health-Community Support Program HFS Center for Behavioral Health Karen Hembrook 611 Sherman Avenue, E. Fort Atkinson, WI (920) (920) Initial ification: 12/1/91 Current: 12/1/03 County / State: Jefferson Expires: 11/30/05 Mark Isaacs 1352 Fort Atkinson Memorial Health Services Initial ification: 9/1/82 County / State: Jefferson Gregory Banaszynski Current: 9/1/ E. Sherman Avenue, East Expires: 8/31/05 Mark Isaacs Fort Atkinson, WI (920) CSAS-Medically Managed Inpatient Detox HFS Mental Health Consultants, S.C. Initial ification: 2/1/81 County / State: Jefferson Nicholas Bisenius Current: 1/1/ McMillen Street Expires: 12/31/05 Mark Isaacs Fort Atkinson, WI (920) (920) Mental Health Consultants, S.C. Madison 402 S. Gammon Place, #260 Madison WI Mental Health Consultants, S.C. Whitewater 1461 W. Main Street Whitewater WI 53190

57 Page 57 of 203 ified Provider Address, Contact, Phone 2015 WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling Initial ification: 5/1/90 County / State: Jefferson Ron Paynter Current: 11/1/ Highland Avenue Expires: 10/31/05 Mark Isaacs Fort Atkinson, WI (920) (920) Our Redeemer Lutheran Church 1701 McKenna Boulevard Madison WI St. John Lutheran Church 624 East Street Baraboo WI St. Mark Lutheran Church 215 N. 6th Street Watertown WI St. Steven Lutheran Church 412 W. Maple Avenue Beaver Dam WI Wisconsin Lutheran Chapel 220 W. Gilman Street Madison WI Catholic Charities, Inc. Initial ification: 2/4/02 County / State: Jefferson Bonnie Loughran Current: 3/1/ Janesville Avenue Expires: 2/28/06 Mark Isaacs Fort Atkinson, WI (608) Rock River Counseling. LLC Carol Erdman 335 Whitewater Avenue Fort Atkinson, WI (608) (920) Initial ification: 7/21/03 Current: 8/1/04 County / State: Jefferson Expires: 7/31/05 Mark Isaacs 1029 Allied Counseling Services Initial ification: 2/9/96 County / State: Jefferson Jim Freiberger Current: 3/1/ S. Main Street Expires: 2/28/06 Mark Isaacs Jefferson, WI (920) (920) Allied Counseling Services 706 Main Street Delafield WI St. John's Northwestern Military Academy 1101 N. Genesee Street Delafield WI 53018

58 Page 58 of 203 ified Provider Address, Contact, Phone 1430 Impact Counseling Services, LLC Initial ification: 5/1/98 County / State: Jefferson Melissa Dombrowski Current: 5/1/ W. Linden, #B Expires: 4/30/05 Mark Isaacs Jefferson, WI (920) Jefferson County Human Services Tom Schleitwiler N3995 Annex Road Jefferson, WI (920) Initial ification: 10/1/75 Current: 6/1/04 County / State: Jefferson Expires: 5/31/06 Mark Isaacs 2221 Jefferson County Human Services Community Support Program Initial ification: 6/1/00 County / State: Jefferson Tom Schleitwiler Current: 6/1/04 N3995 Annex Road Expires: 5/31/06 Mark Isaacs Jefferson, WI (920) Mental Health-Community Support Program HFS Aadvantage Behavioral Health Care, LLC Initial ification: 2/1/04 County / State: Jefferson Maureen Buss Current: 2/1/ E. Pine Street Expires: 1/31/05 Mark Isaacs Lake Mills, WI (920) (920) Directions Counseling Center John Duffin 129 Hospital Drive Watertown, WI (920) (920) Center for Women's Health 128 Hospital Drive Watertown WI Lakewood Clinic - Johnson Creek 102 Village Walk Lane Johnson Creek WI Lakewood Clinic - Johnson Creek 128 Hospital Drive Watertown WI Lakewood Clinic - Lake Mills 1025 Mulberry Street Lake Mills WI Initial ification: 11/1/81 Current: 1/1/04 County / State: Jefferson Expires: 12/31/05 Mark Isaacs

59 Page 59 of ified Provider Address, Contact, Phone Family Resources Associates, Inc. Barbara Lowe 1315 W. Main Street Watertown, WI (920) Family Resources Associates, Inc. 331 N. Main Street Lake Mills WI Initial ification: 11/1/93 Current: 11/1/02 Expires: 10/31/04 County / State: Jefferson Mark Isaacs 1798 River City Psychological Services Joseph Marceil 218 S. First Street Watertown, WI (920) Initial ification: 8/1/90 Current: 2/1/04 Expires: 1/31/06 County / State: Jefferson Mark Isaacs 1409 Hess Memorial Hospital, Inc. Janet Ray 1050 Division Street Mauston, WI (608) (608) Initial ification: 6/1/87 Current: 5/1/03 Expires: 4/30/05 County / State: Juneau 1452 Juneau County Department of Human Services-Community Support Program VaLinda Wondrasch 220 E. LaCrosse Street Mauston, WI (608) (608) Initial ification: 1/1/89 Current: 12/1/03 Expires: 11/30/05 County / State: Juneau Mental Health-Community Support Program HFS Juneau County Department of Human Services Michael Roraff 220 E. LaCrosse Street Mauston, WI (608) (608) Initial ification: 1/1/88 Current: 1/1/04 Expires: 12/31/05 County / State: Juneau Mental Health-Emergency HFS 34.2 Service Cadena Counseling Services Javier Cadena 804 Prairie Street Mauston, WI (608) (608) Initial ification: 3/18/02 Current: 4/1/04 County / State: Juneau Expires: 3/31/06

60 Page 60 of 203 ified Provider Address, Contact, Phone 1024 Alcohol and Drug Council of Kenosha County Jeanne Pataska th Street, #200 Kenosha, WI (262) Initial ification: 2/15/90 Current: 3/1/04 County / State: Kenosha Expires: 2/28/06 Mark Isaacs CSAS-Prevention HFS Bayside Clinic, S.C. Initial ification: 4/9/91 County / State: Kenosha Kathryn Aalto Current: 5/1/ th Avenue, #2 Expires: 4/30/05 Mark Isaacs Kenosha, WI (262) Change & Challenges, Inc. Rosemarie Kursietis th Avenue Kenosha, WI (262) Initial ification: 3/15/97 Current: 4/1/03 County / State: Kenosha Expires: 3/31/05 Mark Isaacs 1193 Children's Service Society of Wisconsin Kathleen Golden th Street, #300 Kenosha, WI (262) (262) Initial ification: 10/1/93 Current: 10/1/03 County / State: Kenosha Expires: 9/30/05 Mark Isaacs 1258 Covenant Counseling Associates, Inc. Rick Czechowicz 4801 Washington Road Kenosha, WI (262) Initial ification: 11/1/91 Current: 12/1/03 County / State: Kenosha Expires: 11/30/05 Mark Isaacs 1440 Interconnections, S.C. Initial ification: 8/1/81 County / State: Kenosha Michael Radke Current: 1/1/ th Street Expires: 12/31/05 Mark Isaacs Kenosha, WI (262) Johansen and Schneider Psychological Services, S.C. Initial ification: 2/1/93 County / State: Kenosha Debra Johansen Current: 2/1/ Green Bay Road, Suite 230 Expires: 1/31/06 Mark Isaacs Kenosha, WI (262)

61 Page 61 of 203 ified Provider Address, Contact, Phone 1460 Kenosha Human Development Services, Inc. Initial ification: 2/1/77 County / State: Kenosha Lester Wright Current: 4/1/ th Avenue Expires: 3/31/06 Mark Isaacs Kenosha, WI (262) (262) Mental Health-Emergency Service 3 HFS Professional Services Group, Inc. Initial ification: 6/1/83 County / State: Kenosha Brian Wolf Current: 4/1/ rd Street Expires: 3/31/06 Mark Isaacs Kenosha, WI (262) Professional Services Group, Inc. 800 Goold Street Racine WI Psychiatric and Psychotherapy Clinic Initial ification: 6/1/80 County / State: Kenosha Paul DeFazio Current: 5/1/ th Avenue, Suite 24 Expires: 4/30/06 Mark Isaacs Kenosha, WI (262) (262) Sue Panger & Associates, SC Sue Panger 3200 Sheridan Road, #105 Kenosha, WI (262) Initial ification: 2/15/96 Current: 2/1/04 County / State: Kenosha Expires: 1/31/06 Mark Isaacs 2028 Oakwood Clinical Associates, Ltd. Amy Anderson th Street Kenosha, WI (262) Initial ification: 2/25/91 Current: 3/1/04 County / State: Kenosha Expires: 2/28/06 Mark Isaacs 2049 Patricia Mercier-Gross Clinic, S.C. Kathryn Aalto th Avenue, Suite 3 Kenosha, WI (262) Initial ification: 8/26/98 Current: 9/1/03 County / State: Kenosha Expires: 1/31/05 Mark Isaacs

62 Page 62 of 203 ified Provider Address, Contact, Phone 2200 Genesis Options Residential Program John Monacelli th Avenue Kenosha, WI (262) Initial ification: 3/14/00 Current: 4/1/04 County / State: Kenosha Expires: 3/31/06 Mark Isaacs CSAS-Transitional Residential HFS Aurora Medical Group Behavioral Health Services Tom Grundle th Street, #307 Kenosha, WI (262) Initial ification: 9/24/98 Current: 10/1/03 County / State: Kenosha Expires: 9/30/05 Mark Isaacs 2248 Pathways Consulting Initial ification: 9/6/00 County / State: Kenosha Sharon O'Brien Current: 5/28/ Green Bay Road, #220 Expires: 8/31/05 Mark Isaacs Kenosha, WI (262) All Saints Medical Center, Inc. Counseling Center - Kenosha Initial ification: 3/5/01 County / State: Kenosha Kathleen Belland Current: 4/1/ th Street, #100 Expires: 3/31/06 Mark Isaacs Kenosha, WI (262) Inner Resource Counseling Initial ification: 7/9/02 County / State: Kenosha Kathryn Weeks Current: 8/1/ th Street Expires: 7/31/05 Mark Isaacs Kenosha, WI (262) (262) Bell Therapy, Inc, Kenosha Community Support Program Initial ification: 1/1/03 County / State: Kenosha Anne Jones Current: 2/23/ th Avenue Expires: 11/30/04 Mark Isaacs Kenosha, WI (262) (262) Mental Health-Community Support Program HFS Aids Resource Center of Wisconsin (ARCW) Initial ification: 1/7/03 County / State: Kenosha Laura Gentry Current: 2/1/ th Street Expires: 1/31/06 Mark Isaacs Kenosha, WI (262) (262)

63 Page 63 of ified Provider Address, Contact, Phone Rogers Memorial Hospital Child and Adolescent Day Treatment Program Jody Keskey, Psy.D th Street Kenosha, WI (262) (262) Initial ification: 4/28/03 Current: 5/1/04 Expires: 4/30/06 County / State: Kenosha Mark Isaacs Mental Health-Day Treatment for HFS Children (2)(b) 2443 Compassionate Care Counseling (A Div of Competitive Edge Emp Assurance Svs) Kevin M. Orlakis th Avenue Kenosha, WI (262) (262) Initial ification: 6/1/03 Current: 6/1/04 Expires: 5/31/06 County / State: Kenosha Mark Isaacs 1575 McCallister, Westrate & Associates Eileen Warren 4425 Taylor Avenue Racine, WI (262) Initial ification: 4/1/97 Current: 4/1/04 Expires: 3/31/06 County / State: Kenosha Mark Isaacs 1466 Kewaunee County Department of Human Services John Schad 522-4th Street Algoma, WI (920) Initial ification: 2/1/77 Current: 2/1/03 Expires: 1/31/05 County / State: Kewaunee Frank Bellaire Mental Health-Emergency HFS 34.2 Service 2 CSAS-Prevention HFS CSAS-Emergency Outpatient HFS Kewaunee County Department of Human Services CSP John Schad 522 Fourth Street Algoma, WI (920) Initial ification: 2/1/77 Current: 2/1/03 Expires: 1/31/05 County / State: Kewaunee Mental Health-Community Support Program Frank Bellaire HFS 63

64 Page 64 of ified Provider Address, Contact, Phone Family and Childrens Center Tim Garrity 1100 Linden Drive Holmen, WI (608) Initial ification: 7/1/99 Current: 7/1/03 Expires: 6/30/05 County / State: LaCrosse Mental Health-Day Treatment for Children 1 Roderic Senn HFS 40.11(2)(a) La Crosse County Human Services Community Support Program - Riverfront 3000 South Avenue La Crosse, WI Initial ification: Current: Expires: County / State: LaCrosse Roderic Senn 1151 Center for Effective Living, Ltd. James Lageunesse 603 King Street La Crosse, WI (608) Initial ification: 10/1/84 Current: 11/1/03 County / State: LaCrosse Expires: 9/30/05 Roderic Senn 1362 Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 212 S. 11th Street La Crosse, WI (608) Initial ification: 9/1/77 Franciscan-Skemp Healthcare Behavioral Health Services 520 Amy Drive Holmen WI Franciscan-Skemp Healthcare Behavioral Health Services S. Main Street Galesville WI Franciscan-Skemp Healthcare Behavioral Health Services Gerard Hall LaCrosse WI Franciscan-Skemp Healthcare Behavioral Health Services 800 West Avenue, S. La Crosse WI Franciscan-Skemp Healthcare Laar House 1022 Division Street Lacrosse WI Current: 6/1/03 Expires: 5/31/05 County / State: LaCrosse Roderic Senn Mental Health-Day Treatment for HFS Children (2)(b) Mental Health-Day Treatment HFS CSAS-Day Treatment HFS Hoffe Counseling Services, Inc. Todd Hoffe 319 Main Street, #302 La Crosse, WI (608) Initial ification: 9/1/95 Current: 4/1/04 Expires: 9/30/04 County / State: LaCrosse Roderic Senn

65 Page 65 of ified Provider Address, Contact, Phone Human Development Associates Patricia Richgels East River Professional Park 2920 East Avenue South, Ste #101 La Crosse, WI (608) Initial ification: 1/1/85 Current: 5/1/03 Expires: 4/30/05 County / State: LaCrosse Roderic Senn 1487 La Crosse County Human Services Community Support Program Carol Schilling 300 N. 4th Street La Crosse, WI (608) Initial ification: 1/1/90 Current: 7/1/04 Expires: 1/31/06 County / State: LaCrosse Mental Health-Community Support Program Roderic Senn HFS Gundersen Lutheran Medical Center, Inc. Behavioral Health Rebecca Cleveland 1910 South Avenue La Crosse, WI (608) Initial ification: 3/1/82 Gundersen Lutheran Medical Center, Inc., Behavioral Healt 724 Denton Street La Crosse WI Current: 12/1/03 Expires: 11/30/05 County / State: LaCrosse Roderic Senn Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Day Treatment HFS CSAS-Narcotic Treatment HFS New Beginnings Counseling, Inc. Susan Cowell 319 Main Street, #302 La Crosse, WI (608) (608) Initial ification: 12/28/00 Current: 5/1/04 County / State: LaCrosse Expires: 12/31/05 Roderic Senn 2286 Catholic Charities of the Diocese of La Crosse Jeffrey Court 128 S. 6th Street La Crosse, WI (608) Initial ification: 12/6/99 Current: 12/1/02 County / State: LaCrosse Expires: 11/30/04 Roderic Senn 2308 Ho-Chunk Nation Alcohol/Drug Program Services Terry LittleWolf Three Rivers House 724 Main Street La Crosse, WI (608) Initial ification: 5/7/01 Current: 11/1/03 Expires: 10/31/05 County / State: LaCrosse K. L. Polly Wong

66 Page 66 of 203 ified Provider Address, Contact, Phone 2360 Germanson Psychotherapy Clinic Larry Germanson 115-5th Avenue South, #414 La Crosse, WI (608) Initial ification: 3/25/02 Current: 3/25/02 County / State: LaCrosse Expires: 4/1/03 Roderic Senn 2467 Stein Counseling and Consulting Services, Ltd Initial ification: 8/6/03 County / State: LaCrosse Ted Stein Current: 8/6/ th Avenue South, Suite 416 Expires: 8/31/04 Roderic Senn La Crosse, WI (608) Garrison Counseling, Inc. Deborah Garrison 319 Main Street, Suite 303 La Crosse, WI (608) Initial ification: 10/2/03 Current: 10/2/03 County / State: LaCrosse Expires: 9/30/04 Roderic Senn 2510 Franciscan-Skemp Healthcare - Women's Laar House Sally Sibbald 1005 Jackson Street La Crosse, WI (608) (608) Initial ification: 3/19/04 Current: 3/19/04 County / State: LaCrosse Expires: 3/31/05 Roderic Senn CSAS-Transitional Residential HFS Changes and Choices, Inc. Initial ification: 7/1/95 County / State: LaCrosse Cindy Patterson-Rhorer Current: 3/1/ South Avenue, #102 Expires: 2/28/06 Roderic Senn Lacrosse, WI (608) (608) Coulee Council on Alcohol and Other Chemical Abuse, Inc. Jeff Schroeder 921 West Avenue South Lacrosse, WI (608) Initial ification: 11/1/86 Current: 5/1/04 County / State: LaCrosse Expires: 10/31/05 Roderic Senn CSAS-Prevention HFS CSAS-Emergency Outpatient HFS Coulee Youth Centers, Inc. Initial ification: 1/1/92 County / State: LaCrosse Steven Eide Current: 8/1/ Copeland Avenue Expires: 3/31/05 Roderic Senn LaCrosse, WI (608)

67 Page 67 of ified Provider Address, Contact, Phone Family and Children's Center Tim Garrity 1707 Main Street Lacrosse, WI (608) (608) Initial ification: 2/1/94 Current: 11/1/03 Expires: 10/31/05 County / State: LaCrosse Roderic Senn Mental Health-Day Treatment for HFS Children (2)(a) 1360 Franciscan-Skemp Healthcare Scarseth House Robert Hillary 535 S. 17th Street Lacrosse, WI (608) Initial ification: 1/1/91 Current: 4/1/04 Expires: 3/31/06 County / State: LaCrosse Roderic Senn CSAS-Transitional Residential HFS Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 800 West Avenue South Lacrosse, WI (608) Initial ification: 10/1/93 Current: 6/1/02 County / State: LaCrosse Expires: 5/31/03 Roderic Senn 1366 Franciscan-Skemp Healthcare - Laar House Robert Hillary 1022 Division Street Lacrosse, WI (608) Initial ification: 1/1/91 Current: 4/1/03 Expires: 3/31/05 County / State: LaCrosse Roderic Senn CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS CSAS-Transitional Residential HFS Franciscan-Skemp Healthcare Nan Andersen 700 West Avenue South Lacrosse, WI (608) Initial ification: 9/1/77 Current: 4/1/03 Expires: 3/31/05 County / State: LaCrosse Roderic Senn Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS 75.06

68 Page 68 of ified Provider Address, Contact, Phone Gundersen Clinic Limited, Behavioral Health Rebecca Cleveland 1836 South Avenue LaCrosse, WI (608) Gundersen Clinic 3100 S. Kinney Coulee Road Onalaska WI Gundersen Clinic th Avenue S. Onalaska WI Gundersen Clinic - Viroqua 125 W. Jefferson Street Viroqua WI Gundersen Clinic-Alma P.O. Box 58 Alma WI Gundersen Clinic-Sparta 103 S. Water Street Sparta WI Gundersen Clinic-Whitehall Park Street P. O. Box 704 Whitehall WI Gundersen-Prairie du Chien Clinic 710 E. Black Hawk Prairie du Chien WI River Park Suites 601 N. Superior Tomah WI Initial ification: 2/1/84 Current: 11/1/03 Expires: 10/31/05 County / State: LaCrosse Roderic Senn 1488 La Crosse County Human Services Thor Sundberg 300 N. 4th Street Lacrosse, WI (608) Initial ification: 2/1/78 Current: 5/1/04 Expires: 4/30/06 County / State: LaCrosse Roderic Senn Mental Health-Emergency HFS 34.3 Service 3

69 Page 69 of ified Provider Address, Contact, Phone Lutheran Social Services of Wisconsin and Upper Michigan, Inc. John Yungerberg 2350 South Avenue, #213 Lacrosse, WI (608) Lutheran Social Services-La Crosse 612 N. Water Street Sparta WI Initial ification: 8/1/77 Current: 7/1/03 Expires: 6/30/05 County / State: LaCrosse K. L. Polly Wong 1951 Gundersen Lutheran Medical Center, Inc., Unity House For Men Rebecca Cleveland 1312 Fifth Avenue, South Lacrosse, WI (608) Initial ification: 12/1/93 Current: 11/1/03 County / State: LaCrosse Expires: 10/31/05 Roderic Senn CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Gundersen Lutheran Medical Center, Inc., Unity House for Women Rebecca Cleveland 1924 Miller Street Lacrosse, WI (608) Initial ification: 11/1/93 Current: 11/1/03 County / State: LaCrosse Expires: 10/31/05 Roderic Senn CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Johnson Counseling and Consulting John Johnson 505 King Street, #227 LaCrosse, WI (608) (608) Initial ification: 12/26/00 Current: 1/1/04 County / State: LaCrosse Expires: 12/31/04 Roderic Senn 1343 Family Solutions Associates Sue Kaufmann N5589 Commerce Road, Suite 170A Onalaska, WI (507) Initial ification: 7/1/97 Current: 7/1/04 Expires: 6/30/06 County / State: LaCrosse Roderic Senn 1435 Innerchange Counseling Thomas Roberts 757 Sandlake Road Onalaska, WI (608) Initial ification: 4/1/92 Current: 4/1/03 Expires: 3/31/05 County / State: LaCrosse Roderic Senn

70 Page 70 of ified Provider Address, Contact, Phone Gundersen Lutheran Medical Center, Inc., Behavioral Health Rebecca Cleveland th Avenue, South Onalaska, WI (608) Gundersen Lutheran Medical Center, Behavioral Health Park Street Whitehall WI Initial ification: 12/1/00 Current: 12/1/03 Expires: 11/30/05 County / State: LaCrosse Roderic Senn 2441 Wisconsin Early Autism Project, Inc. Glen O. Sallows 1113 Riders Club Road Onalaska, WI (608) Initial ification: 5/13/03 Current: 6/1/04 County / State: LaCrosse Expires: 5/31/05 Roderic Senn 2484 WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling Philip Koestler 801 Critter Court, #300 Onalaska, WI (608) Initial ification: 5/14/03 Christian Family Counseling, Ascension Lutheran Church th Avenue, SE Rochester MN Current: 6/1/04 Christian Family Counseling, St. Matthew Lutheran Church 766 W. Wabasha Street Winona MN Christian Family Counseling, St. Paul Lutheran Church 517 Grayside Avenue Mauston WI Christian Family Counseling, St. Paul Lutheran Church 525 Superior Avenue Tomah WI Expires: 5/31/06 County / State: LaCrosse Roderic Senn 1490 Lafayette County Department of Human Services C. Thomas MacDonald 627 N. Main Street Darlington, WI (608) (608) Initial ification: 10/1/75 Current: 11/1/02 County / State: Lafayette Expires: 10/31/04 Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS 75.05

71 Page 71 of ified Provider Address, Contact, Phone Lafayette County Department of Human Services Community Support Program C. Thomas MacDonald 627 N. Main Street Darlington, WI (608) (608) Initial ification: 11/1/00 Current: 11/1/03 Expires: 10/31/04 County / State: Lafayette Mental Health-Community Support Program HFS North Central Health Care Center/Langlade Health Care Center James Hahn 1225 Langlade Road Antigo, WI (715) (715) Initial ification: 3/1/87 Current: 6/1/03 Expires: 5/31/05 County / State: Langlade Steven Ojibway Mental Health-Emergency HFS 34.3 Service North Central Health Care Center/ Langlade Health Care Center CSP James Hahn 1225 Langlade Road Antigo, WI (715) Initial ification: 3/1/87 Current: 6/1/03 Expires: 5/31/05 County / State: Langlade Mental Health-Community Support Program Steven Ojibway HFS Lutheran Social Services of Wisconsin & Upper Michigan-Antigo John Youngerberg 612 Clermont Street Antigo, WI (715) (715) Initial ification: 11/1/01 Current: 11/2/02 County / State: Langlade Expires: 10/31/04 Steven Ojibway 2533 Wetzel-Rasmussen Counseling Services Natalie Wetzel-Rasmussen N11230 Antigo Street Elcho, WI (715) Initial ification: 7/1/04 Current: 7/1/04 Expires: 6/30/05 County / State: Langlade Steven Ojibway 1678 North Central Health Care Facilities Lincoln Health Care Center CSP Margaret Parsons 607 N. Sales Street Merrill, WI (715) Initial ification: 3/1/87 Current: 6/1/03 Expires: 5/31/05 County / State: Lincoln Mental Health-Community Support Program Steven Ojibway HFS 63

72 Page 72 of 203 ified Provider Address, Contact, Phone 1679 North Central Health Care Facilities Lincoln Health Care Center Initial ification: 3/1/87 County / State: Lincoln Margaret Parsons Current: 6/1/ N. Sales Street Expires: 5/31/05 Steven Ojibway Merrill, WI (715) (715) Central Wisconsin Psychological Services, LLC Initial ification: 4/1/04 County / State: Lincoln Eric Anderson Current: 4/1/ East 2nd Street Expires: 3/31/05 Steven Ojibway Merrill, WI (715) Melonas Counseling Services Initial ification: 7/1/04 County / State: Lincoln Irene Melonas Current: 7/1/04 N1545 Cty. Rd. W, #302 Expires: 6/30/05 Steven Ojibway Merrill, WI (715) North Central Health Care Lincoln Healthcare Center Initial ification: 7/1/92 County / State: Lincoln Margaret A Parsons Current: 3/1/ W. Wisconsin Avenue Expires: 2/28/05 Steven Ojibway Tomahawk, WI (715) St. Mary's Hospital/Ministry Behavioral Health-Northern Region Initial ification: 1/1/85 County / State: Lincoln Andrea Maulson Current: 6/1/04 15 E. Wisconsin Avenue Expires: 5/31/06 Steven Ojibway Tomahawk, WI (715) Catholic Charities Diocese of Green Bay, Inc. Karen Johnston 1203 N. 16th Street Manitowoc, WI (920) Initial ification: 1/26/88 Current: 2/1/03 County / State: Manitowoc Expires: 1/31/05 Frank Bellaire

73 Page 73 of ified Provider Address, Contact, Phone Tamarack Behavioral Health Center Toby Taubenheim 339 Reed Avenue Manitowoc, WI (920) Tamarack Behavioral Health Center 2300 Western Avenue Manitowoc WI Initial ification: 1/1/96 Current: 6/1/04 Expires: 5/31/06 County / State: Manitowoc Frank Bellaire 1386 Aurora Behavioral Health Center - Manitowoc Tess Jacobs 1425 Memorial Drive Manitowoc, WI (920) (920) Initial ification: 9/1/93 Current: 4/1/04 Expires: 3/31/06 County / State: Manitowoc Frank Bellaire Mental Health-Day Treatment for HFS Children (2)(c) Mental Health-Day Treatment HFS Holy Family Memorial Medical Center Toby Taubenheim 2300 Western Avenue Manitowoc, WI (920) Initial ification: 5/1/85 Current: 3/1/04 Expires: 2/28/06 County / State: Manitowoc Frank Bellaire Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox CSAS-Medically Managed Inpatient Treatment HFS HFS Lakeshore Mental Health, Inc. Brian Lukach 1119 Marshall Street Manitowoc, WI (920) Lakeshore Mental Health, Inc. 453 E. Brooklyn Street Chilton WI Manitowoc County Human Services Department Thomas Stanton 926 S. 8th Street Manitowoc, WI (920) Initial ification: 8/16/93 Current: 2/1/03 County / State: Manitowoc Expires: 8/31/03 Frank Bellaire Initial ification: 10/1/75 County / State: Manitowoc Current: 11/1/03 Expires: 10/31/05 Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Emergency Outpatient HFS 75.05

74 Page 74 of 203 ified Provider Address, Contact, Phone 1557 Marco Services, Inc. Carol Wergin 1114 S. 11th Street Manitowoc, WI (920) Initial ification: 10/10/90 Current: 10/1/02 County / State: Manitowoc Expires: 9/30/04 Frank Bellaire CSAS-Transitional Residential HFS Phoenix Behavioral Health Center, LLP Michael Vance 115 E. Waldo Boulevard Manitowoc, WI (920) Initial ification: 8/26/91 Current: 11/1/03 County / State: Manitowoc Expires: 10/31/05 Frank Bellaire 1816 S.M.S. Counseling Services, Inc. Initial ification: 1/2/90 County / State: Manitowoc Susan Schutz Current: 1/1/03 927A S. 8th Street, #300 Expires: 12/31/04 Frank Bellaire Manitowoc, WI (920) Blue Waters Family Counseling, S.C. Diane Berry 2215 Washington Street Manitowoc, WI (920) (920) Initial ification: 6/29/00 Current: 2/1/04 County / State: Manitowoc Expires: 1/31/06 Frank Bellaire 2285 Manitowoc County Human Services Department CSP Thomas Stanton 926 S. 8th Street Manitowoc, WI (920) Initial ification: 10/1/75 Current: 11/1/03 Expires: 10/31/05 County / State: Manitowoc Mental Health-Community Support Program Frank Bellaire HFS Courage to Change Recovery Initial ification: 1/7/00 County / State: Marathon Rae Ann Wichlacz Current: 11/1/ Galvin Road Expires: 10/31/05 Steven Ojibway Abbotsford, WI (715) (715)

75 Page 75 of 203 ified Provider Address, Contact, Phone 1153 Center for Human Development E. Lee Webster 631 Forest Street Wausau, WI (715) (715) Center for Human Development 302 N. St. Joseph's Avenue Marshfield WI Center for Human Development 2417 Post Road, Bldg. A, #2 Stevens Point WI Initial ification: 12/1/86 Current: 12/1/03 County / State: Marathon Expires: 11/30/05 Steven Ojibway 1185 Children's Service Society of Wisconsin Michelle Lee Shipway 705 S. 24th Avenue, #402 Wausau, WI (715) Initial ification: 12/1/83 Current: 1/1/04 County / State: Marathon Expires: 12/31/05 Steven Ojibway 1299 Elmergreen Associates, Inc. Dennis Elmergreen 114 Grand Avenue Wausau, WI (715) (715) Elmergreen Associates, Inc. 524 Morse Street Antigo WI Elmergreen Associates, Inc. 408 Third Street, Suite 202 Wausau WI Elmergreen Associates, Inc Terrace Court Wausau WI Elmergreen Associates, Inc. 333 S. Central Marshfield WI Initial ification: 11/5/92 Current: 11/1/03 County / State: Marathon Expires: 10/31/05 Steven Ojibway 1321 Family Counseling Services Colleen Rinkin 903 Second Street Wausau, WI (715) Initial ification: 11/1/79 Current: 1/1/04 County / State: Marathon Expires: 12/31/05 Steven Ojibway

76 Page 76 of 203 ified Provider Address, Contact, Phone 1515 Lutheran Counseling and Family Services Initial ification: 9/1/86 County / State: Marathon Dan Kohn Current: 9/1/ Terrace Court Expires: 8/31/05 Steven Ojibway Wausau, WI (888) Lutheran Counseling and Family Services 1919 Wyatt Street Stevens Point WI Lutheran Counseling and Family Services 300 Lincoln Street Antigo WI Lutheran Counseling and Family Services 107 N. Main Street Merrill WI Lutheran Social Services of Wisconsin & Upper Michigan-Wausau John Youngerberg 516 Mc Clellan Street Wausau, WI (715) (715) Lutheran Social Services of WI & Upper MI-Wausau 300 Logan Street Merrill WI Lutheran Social Services of WI & Upper MI-Wausau 235 N. Stevens Street Rhinelander WI Lutheran Social Services of WI & Upper MI-Wausau 1052 Main Street, #6B Stevens Point WI Lutheran Social Services of WI & Upper MI-Wausau 207 S. Cherry Avenue Marshfield WI Initial ification: 6/1/82 Current: 7/1/03 Expires: 6/30/05 County / State: Marathon Steven Ojibway

77 Page 77 of ified Provider Address, Contact, Phone North Central Health Care Facilities Tim Steller 1100 Lake View Drive Wausau, WI (715) Initial ification: 10/1/75 Current: 3/1/03 Expires: 2/28/05 County / State: Marathon Steven Ojibway Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Emergency HFS 34.3 Service 3 Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Day Treatment HFS The Centre For Well-Being, Inc. Sharon Muttonen 2801 N. 7th Street, #400 Wausau, WI (715) (715) Initial ification: 2/17/92 Current: 8/1/03 County / State: Marathon Expires: 7/31/05 Steven Ojibway 2057 Adult Counseling & Child Guidance Clinic Barbara Yeast 301 E. Kent Street Wausau, WI (715) Initial ification: 8/28/98 Current: 9/1/03 County / State: Marathon Expires: 8/31/05 Steven Ojibway 2294 Wausau Hospital/Behavioral Health Services Charles Latta 333 Pine Ridge Boulevard Wausau, WI (715) (715) Initial ification: 3/1/01 Current: 3/1/04 Expires: 2/28/05 County / State: Marathon Steven Ojibway Mental Health-Inpatient HFS North Central Health Care Facilities Community Support Program Tim Steller 506 N. Sixth Street Wausau, WI (715) Initial ification: 10/1/75 Current: 3/1/03 Expires: 2/28/05 County / State: Marathon Mental Health-Community Support Program Steven Ojibway HFS 63

78 Page 78 of 203 ified Provider Address, Contact, Phone 2349 Dix & Gillette Counseling Services, LLP Initial ification: 2/1/01 County / State: Marathon Michael Dix Current: 2/1/ Merrill Avenue #401, Box 12 Expires: 1/31/05 Steven Ojibway Wausau, WI (715) Affiliated Family Psychiatry of Wausau, S.C. Initial ification: 7/1/02 County / State: Marathon Juan Fernandez, III Current: 7/1/ Stewart Ave, Suite 270 Expires: 8/31/03 Steven Ojibway Wausau, WI (715) (715) Northwest Counseling and Guidance Marathon County Journey Program Jill Chaffee 2805 Emery Drive Wausau, WI (715) (715) Initial ification: 9/18/02 Current: 9/1/03 Expires: 8/31/05 County / State: Marathon Mental Health-Day Treatment for Children 1 Steven Ojibway HFS 40.11(2)(a) 2408 Milwaukee Health Services Systems d/b/a Wausau Health Services James Bitner 209B W. Washington Street Wausau, WI (715) (715) Initial ification: 1/13/03 Current: 8/1/03 County / State: Marathon Expires: 7/31/05 Steven Ojibway CSAS-Narcotic Treatment HFS North Central Health Care Facilities Community Support Program F.O.R. Initial ification: 3/1/03 County / State: Marathon Tim Stellar Current: 3/1/ S. 3rd Avenue Expires: 2/28/05 Steven Ojibway Wausau, WI Mental Health-Community Support Program HFS North Central Health Care Facilities Initial ification: 3/1/03 County / State: Marathon Tim Stellar Current: 3/1/ S. 3rd Avenue Expires: 2/28/05 Steven Ojibway Wausau, WI 54401

79 Page 79 of 203 ified Provider Address, Contact, Phone 2464 Charis Counseling, LLC Initial ification: 9/1/03 County / State: Marathon David Holmes Current: 1/1/ W. Stewart Avenue, Ste 318 Expires: 8/31/05 Steven Ojibway Wausau, WI (715) (715) WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling Initial ification: 6/1/03 County / State: Marathon Clara Raindille Current: 6/1/ Grand Avenue, #104 Expires: 5/31/06 Steven Ojibway Wausau, WI (715) Immanuel Lutheran Church 420 Lincoln Street Medford WI St. Paul Lutheran Church th Avenue S. Wisconsin Rapids W Zion Lutheran Church 160 N. Brown Street Rhinelander WI Associated Counseling Services, Inc. Initial ification: 3/1/04 County / State: Marathon Carol Wesley Current: 7/1/ N. 3rd Avenue Expires: 2/28/05 Steven Ojibway Wausau, WI (715) (715) Catholic Charities Diocese of Green Bay, Inc. Joann Liska 844 Pierce Avenue, Suite 102 Marinette, WI (715) Initial ification: 1/26/88 Current: 2/1/04 County / State: Marinette Expires: 7/31/05 Frank Bellaire 1439 Integrated Mental Health Service, S.C. Robert T McQueeney 1602 Main Street Marinette, WI (715) Initial ification: 12/8/97 Current: 1/1/03 County / State: Marinette Expires: 12/31/04 Frank Bellaire

80 Page 80 of ified Provider Address, Contact, Phone Marinette County Health & Human Services Department/ADAPT L. William Topel 2500 Hall Avenue, #A Marinette, WI (715) Initial ification: 1/1/82 Marinette County Health & Human Services Dept/ADAPT 1201 Jackson Street Niagara WI Current: 12/1/03 Expires: 11/30/05 County / State: Marinette Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Emergency Outpatient HFS Libertas of Marinette Patrick Ryan 1712 Dunlap Square Bldg, #5 Marinette, WI (715) Initial ification: 5/18/99 Current: 6/1/04 County / State: Marinette Expires: 5/31/06 Frank Bellaire 2321 Marinette County Health and Human Services/ADAPT L. William Topel 2135 Pierce Ave Marinette, WI (715) Initial ification: 8/20/01 Current: 9/1/02 Expires: 11/30/04 County / State: Marinette Mental Health-Day Treatment for Children 1 Frank Bellaire HFS 40.11(2)(a) 2322 Marinette County Health and Human Services/ADAPT L. William Topel 1011 Water Street Marinette, WI (715) Initial ification: 8/20/01 Current: 9/1/02 Expires: 11/30/04 County / State: Marinette Mental Health-Day Treatment for Children 1 Frank Bellaire HFS 40.11(2)(a) 2340 Marinette County Health & Human Services Department/ADAPT CSP L. William Topel 2500 Hall Avenue, #A Marinette, WI (715) Initial ification: 1/1/82 Current: 12/1/03 Expires: 11/30/05 County / State: Marinette Mental Health-Community Support Program Frank Bellaire HFS Bellin Behavioral Health - Peshtigo Stacie Herzog 441 French Street Peshtigo, WI (715) (715) Initial ification: 6/23/00 Current: 4/1/04 County / State: Marinette Expires: 3/31/06 Frank Bellaire

81 Page 81 of ified Provider Address, Contact, Phone Marquette Chemical Dependency Services Bruce Nicholas N3829 Hwy. 22 Montello, WI (608) Initial ification: 3/1/81 Current: 5/1/04 Expires: 4/30/06 County / State: Marquette Frank Bellaire CSAS-Prevention HFS CSAS-Emergency Outpatient HFS Northland Community Services Initial ification: 1/1/83 Jon Matthew Current: 11/1/ Spring Street Expires: 10/31/05 Westfield, WI (608) Northland Community Services 139 S. Main P.O. Box 1178 Adams WI County / State: Marquette Frank Bellaire Mental Health-Emergency HFS 34.3 Service Northland Community Services Community Support Program Jon Matthew 161 Spring Street Westfield, WI (608) Initial ification: 1/1/83 Current: 11/1/03 Expires: 10/31/05 County / State: Marquette Mental Health-Community Support Program Frank Bellaire HFS Menominee County Health & Human Services Department Barbara Nelson P.O. Box 280 Courthouse Lane Keshena, WI (715) (715) Initial ification: 11/1/94 Current: 5/1/03 County / State: Menominee Expires: 4/30/05 Frank Bellaire Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Menominee Tribal Clinic, Mental Health Services Jerry Waukau P.O. Box 970 Keshena, WI (715) Initial ification: 3/3/93 Current: 3/1/04 Expires: 2/28/06 County / State: Menominee Frank Bellaire

82 Page 82 of ified Provider Address, Contact, Phone Menominee County Health & Human Services Department CSP Barbara Nelson P.O. Box 280 Courthouse Lane Keshena, WI (715) Initial ification: 11/1/94 Current: 5/1/03 Expires: 4/30/05 County / State: Menominee Mental Health-Community Support Program Frank Bellaire HFS Great Lakes Recovery Centers- Dickinson/Iron Counties Bruce Suardini Downtown Plaza 427 S. Stephenson Avenue Iron Mountain, MI (906) (906) Initial ification: 1/1/79 Current: 7/1/04 Expires: 9/30/04 County / State: Michigan Steven Ojibway CSAS-Prevention HFS Great Lakes Recovery Centers Bruce Suardini Genesee Street Mall 117 W. Genesee Iron River, MI (906) (906) Initial ification: 3/16/04 Current: 3/16/04 County / State: Michigan Expires: 9/30/04 Steven Ojibway 1500 Lakeshore Professional Counseling, Inc. Jeanne Harper 447 First Street Menominee, MI (906) (906) Initial ification: 7/1/97 Current: 7/1/02 Expires: 5/31/04 County / State: Michigan Steven Ojibway 1730 Pathways Counseling Center Gretchen Fincke W. Bluemound Road, #100 Brookfield, WI (414) (414) Initial ification: 12/1/85 Current: 7/1/04 Expires: 8/31/ Rogers Memorial Hospital - Child & Adolescent Day Treatment Jody Keskey 4600 Schroeder Drive Brown Deer, WI (414) (414) Initial ification: 7/13/04 Current: 7/13/04 Expires: 6/30/05 Mental Health-Day Treatment for HFS Children (2)(b) CSAS-Day Treatment HFS 75.12

83 Page 83 of ified Provider Address, Contact, Phone St. Luke's Medical Center, Inc. - South Shore Joy Mead-Meucci 5900 S. Lake Drive, 4th Floor Cudahy, WI (414) Initial ification: 11/1/89 Current: 10/1/03 Expires: 9/30/05 Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Day Treatment HFS Kairos Counseling Clinic - A Division of Christos Ministries, Inc. Gary Heath W. Bluemound Road, #105 Elm Grove, WI (414) (414) Initial ification: 12/1/91 Kairos Counseling Clinic - A Division of Christos Ministrie 255 W. Lincoln Avenue Hartford WI Kairos Counseling Clinic - A Division of Christos Ministrie N48 W31340 Hill Road Hartland WI Kairos Counseling Clinic - A Division of Christos Ministrie 140-7th Avenue West Bend WI Kairos Counseling Clinic - A Division of Christos Ministrie N. Pt. Washington Road Mequon WI Current: 12/1/03 Expires: 11/30/ Aurora Behavioral Health - Franklin Katherine Connelly 9200 W. Loomis Road, #103 Franklin, WI (414) (414) Initial ification: 5/2/94 Current: 7/1/04 Expires: 8/31/ Performance Enhancement Health Services, SC William Schacht 7400 W. Rawson Avenue, #213 Franklin, WI (414) (414) Performance Enhancement Health Services, SC 7418 Tichigan Road Waterford WI Initial ification: 3/11/91 Current: 4/28/03 Expires: 1/31/05

84 Page 84 of 203 ified Provider Address, Contact, Phone 1123 The Cambridge Group Paul Smerz 6110 N. Port Washington Road Glendale, WI (414) (414) Initial ification: 12/1/90 Current: 10/1/03 Expires: 9/30/ Health Psychology Associates Initial ification: 5/1/91 Geraldine Banks Current: 7/1/ N. Pt. Washington Rd., #230 Expires: 4/30/06 Glendale, WI (414) (414) Reconnections Hal Dessel 921 W. Glendale Avenue Glendale, WI (414) (414) Initial ification: 12/9/96 Current: 5/1/04 Expires: 12/31/ Shorehaven Counseling Associates, Inc. Initial ification: 7/1/83 Don Rosenberg Current: 5/1/ N. Port Washington Road Expires: 2/28/06 Glendale, WI (414) CSAS-Day Treatment HFS Shorehaven Counseling Associates, Inc W. Forest Home Ave., #104 Greenfield WI Shorehaven Counseling Associates, Inc N. Grandview, #309 Waukesha WI Stress Management & Mental Health Clinics Craig Modell 5225 N. Ironwood Lane, #102 Glendale, WI (414) (414) Initial ification: 10/1/87 Current: 2/1/03 Expires: 9/30/ Aro Counseling Centers, Inc. Kathy Murawski 4325 S. 60th Street, #3 Greenfield, WI (414) (414) Initial ification: 10/24/96 Current: 11/1/03 Expires: 10/31/05 CSAS-Day Treatment HFS 75.12

85 Page 85 of 203 ified Provider Address, Contact, Phone 1175 Child and Family Therapeutic Systems Paul Krepel 4848 S. 76th Street, #201 Greenfield, WI (414) Child and Family Therapeutic Systems 211 N. Rochester Street Mukwonago WI Initial ification: 1/23/97 Current: 4/1/04 Expires: 1/31/ Cornerstone Counseling Services, Inc. Scott Allen 4811 South 76th Street, #200 Greenfield, WI (414) Initial ification: 5/21/97 Current: 6/1/04 Expires: 8/31/04 Mark Isaacs 1279 Discovery & Recovery Clinic, Inc. Initial ification: 1/9/90 Barbara Lacy Current: 9/26/ S. 68th Street, #100 Expires: 11/30/04 Greenfield, WI (414) (414) Parkview Counseling Associates, LLC Dennis Shirk 9910 W. Layton Avenue, #1 Greenfield, WI (414) (474) Initial ification: 9/30/03 Current: 9/30/03 Expires: 9/30/ Cedar Creek Family Counseling, Inc. Buckley Meade 9415 W. Forest Home Ave., #108 Hales Corners, WI (414) (414) Initial ification: 9/15/92 Current: 3/1/04 Expires: 9/30/ M. Burton Psychological Services Marianne Burton W. Forest Home Avenue Hales Corners, WI (414) (414) Initial ification: 11/1/94 Current: 1/1/04 Expires: 10/31/05

86 Page 86 of 203 ified Provider Address, Contact, Phone 1778 Recovery Point, S.C. Barbara Jo Baer 5300 S. 108th Street, #12B Hales Corners, WI (414) Initial ification: 4/15/97 Current: 5/1/04 Expires: 4/30/ Wolf Family & Child Clinic Initial ification: 1/1/92 Dennis Wolf Current: 3/1/ W. Janesville Road Expires: 12/31/04 Hales Corners, WI (414) Mequon Clinical Associates Initial ification: 1/1/93 K. Maria Kramer Current: 1/1/ N Pt Washington Road, #207 Expires: 12/31/05 Mark Isaacs Mequon, WI (414) (414) Life Adventure Therapies Melissa Summerfield N. Pt. Washington Rd.,#204 Mequon, WI (262) (262) Initial ification: 2/18/02 Current: 3/1/03 Expires: 2/28/05 Mark Isaacs Rosalie Manor Community and Family Services Initial ification: Current: 4803 W. Burleigh Street Expires: Milwaukee, WI Milwaukee Women's Center Behavioral Health Clinic II Initial ification: Current: 5444 W. Fond du Lac Avenue Expires: Milwaukee, WI A Centre For Positive Development Initial ification: 8/1/79 Alex Walkowiak Current: 12/1/ S. 2nd Street Expires: 8/31/04 Milwaukee, WI (262)

87 Page 87 of 203 ified Provider Address, Contact, Phone 1006 Acacia Clinic, Inc. Deirdre Kozlowski 6040 W Lisbon Avenue, #102 Milwaukee, WI (414) (414) Acacia Clinic, Inc S. Kinnickinnic Milwaukee WI Acacia Clinic, Inc Dopp Street Waukesha WI Acacia Clinic, Inc N. Cedarburg Road Cedarburg WI Initial ification: 10/1/92 Current: 3/1/04 Expires: 9/30/ th Street Behavioral Health Center Paul West 1032 S. 16th Street Milwaukee, WI (414) Initial ification: 10/15/97 Current: 1/1/04 Expires: 10/31/ Allied Mental Health/ Rehabilitation Clinics James Paquette 4425 W. Woolworth Avenue Milwaukee, WI (414) Allied Mental Health/ Rehabilitation Clinics W. North Avenue Wauwatosa WI Initial ification: 12/1/88 Current: 3/1/03 Expires: 10/31/ American Indian Council on Alcoholism Shirley LaFleur 2240 W. National Avenue Milwaukee, WI (414) (414) Initial ification: 10/1/92 Current: 10/1/03 Expires: 9/30/04 CSAS-Prevention HFS Andrew W. Kane & Associates, S.C. Initial ification: 6/1/82 Andrew Kane Current: 8/1/ N. Summit Avenue Expires: 9/30/04 Milwaukee, WI (414) (414)

88 Page 88 of 203 ified Provider Address, Contact, Phone 1042 American Behavioral Clinics, SC - Bluemound Clinic Initial ification: 7/1/90 Deana Ohman Current: 5/1/ W. Bluemound Road Expires: 1/31/06 Milwaukee, WI (414) American Behavioral Clinics - Southwest Clinic Deana Ohman 7330 W. Layton Avenue Milwaukee, WI (414) Initial ification: 10/1/76 Current: 5/1/04 Expires: 1/31/ Associated Mental Health Consultants, Inc. Initial ification: 4/1/82 Bernadette DeMuri Current: 7/1/ N. Mayfair Road, #305 Expires: 5/31/06 Milwaukee, WI (414) Associated Therapies Initial ification: 4/1/92 Julaine Siewert Current: 12/1/ N. Pt. Washington Rd #220 Expires: 7/31/04 Milwaukee, WI (414) Associated Therapies W. North Avenue Brookfield WI Behavioral Consultants, Inc. Initial ification: 5/1/84 Cathy Crandell Current: 2/1/ N. Farwell Avenue, #210 Expires: 11/30/04 Milwaukee, WI (414) Bell Therapy, Inc. Community Support Program Initial ification: 9/1/90 Anne Jones Current: 4/1/ W. Fond du Lac Avenue Expires: 3/31/05 Milwaukee, WI (414) Mental Health-Community Support Program HFS 63

89 Page 89 of 203 ified Provider Address, Contact, Phone 1095 Bell Therapy Community Support Program South Initial ification: 3/3/97 Anne Jones Current: 8/1/ W. Mitchell, 1st Floor Expires: 7/31/05 Milwaukee, WI (414) (414) Mental Health-Community Support Program HFS Bell Therapy, Inc. - Day One Jill Letizia 4065 N. 35th Street Milwaukee, WI (414) Initial ification: 10/1/87 Current: 10/1/02 Expires: 9/30/04 Mental Health-Day Treatment HFS Belwood Ltd./Bell Therapy Initial ification: 5/1/78 Jill Letizia Current: 5/1/ N. 27th Street Expires: 1/31/06 Milwaukee, WI (414) Mental Health-Day Treatment HFS Calyx Counseling Center Initial ification: 1/1/92 Florence Selder Current: 4/1/ N. Farwell Avenue, 305 Expires: 1/31/05 Milwaukee, WI (414) Career Youth Development, Inc. Janetta Robinson 2603 N. Martin Luther King Dr. Milwaukee, WI (414) (414) Initial ification: 2/15/93 Current: 6/1/04 Expires: 10/31/04 CSAS-Day Treatment HFS Catholic Charities - Milwaukee Initial ification: 6/1/81 John Nesseth Current: 7/1/ N. 60th Street Expires: 4/30/06 Milwaukee, WI (414) (414) Cedar Creek Counseling Center Initial ification: 5/7/96 Buckley Meade Current: 5/1/ W. Capitol Drive, #301 Expires: 4/30/04 Milwaukee, WI (414)

90 Page 90 of 203 ified Provider Address, Contact, Phone 1146 Center For Child and Family Service Roselyn Clipps Roselyn Clipps 6427 W. Capitol Drive, #303 Milwaukee, WI (414) Initial ification: 10/1/75 Current: 3/24/03 Expires: 9/30/ Child, Adolescent & Family Counseling Center Maximo Cueto, Jr W. Layton Avenue, #102 Milwaukee, WI (414) Initial ification: 12/11/88 Current: 1/1/02 Expires: 12/31/ Child, Adolescent, Family & Marriage Therapy Associates Initial ification: 3/1/95 Emma Williams Current: 4/1/ W. Wisconsin Avenue, #610 Expires: 3/31/05 Milwaukee, WI (414) Children's Hospital of Wisconsin Tracy Oerter Mail Station W. Wisconsin Avenue Milwaukee, WI (414) Initial ification: 10/1/78 Current: 5/1/04 Expires: 4/30/ Children's Service Society of Wisconsin Initial ification: 1/1/83 Ronald Pupp Current: 3/1/ S. 70th Street Expires: 12/31/05 Milwaukee, WI (414) Cindy Milner Clinic Initial ification: 10/1/84 Cindy Milner Current: 12/1/ E. Brady Street Expires: 9/30/05 Milwaukee, WI (414) AJA Enterprise, LLC - AJA Counseling Center Bevelyn Johnson 8725 West Mill Road Milwaukee, WI (414) Initial ification: 10/16/96 Current: 8/1/04 Expires: 4/30/06

91 Page 91 of 203 ified Provider Address, Contact, Phone 1215 Columbia Hospital Caryl Zaar 2025 E. Newport Avenue Milwaukee, WI (414) (414) Initial ification: 11/1/82 Current: 6/1/04 Expires: 5/31/06 Mental Health-Inpatient HFS Comprehensive Clinical & Consulting Services Initial ification: 1/1/82 Itzhak Matusiak Current: 7/1/ N. Port Washington Rd, #102 Expires: 8/31/04 Milwaukee, WI (414) Comprehensive Mental Health Services, SC Bruce Axelrod 5150 N. Port Washington Rd., #200 Milwaukee, WI (414) Initial ification: 11/1/81 Current: 3/1/03 Expires: 10/31/ Creative Consulting and Counseling Services Initial ification: 2/1/84 Jim Morningstar Current: 12/1/ W. Good Hope Road Expires: 7/31/04 Milwaukee, WI (414) Catherine C. Gawlick, MS 5526 W. Elmhurst Drive Mequon WI Creative Consulting and Counseling Services 2728 N. Prospect Milwaukee WI Creative Consulting and Counseling Services 4900 Sussex Lane Greendale WI Transformations Lakeside 2147 Pine Ridge Road North Oostburg WI Wawatosa Office Creative Consulting & Counseling Servic 7514 Hillcrest Drive Wauwatosa WI 53213

92 Page 92 of ified Provider Address, Contact, Phone Dennis C. Hill Harm Reduction Center Amy Polacheck 820 N. Plankinton Avenue Milwaukee, WI (414) Initial ification: 2/11/97 Current: 5/1/04 Expires: 2/28/05 CSAS-Day Treatment HFS Diverse Clinical Services Associates Basilisa Virella 633 W. Wisconsin Avenue, #330 Milwaukee, WI (414) Initial ification: 1/8/98 Current: 5/1/03 Expires: 1/31/ Eastlake Counseling/Consulting Lori Vance 930 E. Knapp Street Milwaukee, WI (414) Initial ification: 4/1/88 Current: 6/1/04 Expires: 3/31/ Exodus Counseling Center Initial ification: 8/1/90 D. Schott Stoner Current: 12/1/02 North Office - Suite N. Port Washington Expires: 7/31/04 Road Milwaukee, WI (414) Family Development Center Julie Murdock 4757 N. 76th Street Milwaukee, WI (414) Family Development Center 151 S. 84th Street Milwaukee WI Initial ification: 1/1/91 Current: 2/1/03 Expires: 1/31/ Aurora Behavioral Health - North Shore Kate Connelly 6980 N. Port Washington Rd, #202 Milwaukee, WI (414) Initial ification: 8/1/85 Current: 8/1/03 Expires: 7/31/05

93 Page 93 of 203 ified Provider Address, Contact, Phone 1336 Aurora Family Service, Inc. Initial ification: 5/1/77 JoEl Demant Current: 4/4/ W. Highland Boulevard Expires: 7/31/04 Milwaukee, WI (414) (414) Aurora Wiselives 8320 W Bluemound Road, #125 Wauwatosa WI Clark Square Family Health Center 1818 W. National Avenue Milwaukee WI Mitchell Point Family Health Center 1225 W Mitchell Street, #200 Milwaukee WI Wisconsin Avenue Family Care Center 1834 W Wisconsin Avenue Milwaukee WI MFM Behavioral Medicine Clinic/A Division of MFM Medical Enterprises Initial ification: 3/9/98 Ivory Young Current: 12/2/ N. 76th Street Expires: 3/31/04 Milwaukee, WI (414) CSAS-Day Treatment HFS Genesis Behavioral Services Genesis Milwaukee Outpatient-Central John Monacelli 2040 W. Wisconsin Avenue, #560 Milwaukee, WI (414) Initial ification: 12/1/87 Current: 7/1/04 Expires: 11/30/05 CSAS-Day Treatment HFS Genesis Behavioral Services, Inc. Men's AODA Residential John Monacelli 2436 N. 50th Street Milwaukee, WI (414) Initial ification: 7/15/92 Current: 8/1/04 Expires: 7/31/06 CSAS-Transitional Residential HFS Glen Haven Counseling Clinic Initial ification: 3/1/92 Jerrold Rousseau Current: 5/1/03 Jerrold Rousseau 6270 N. Port Washington Rd., #201 Expires: 2/28/05 Milwaukee, WI (414)

94 Page 94 of 203 ified Provider Address, Contact, Phone 1395 Hawkins Donovan & Associates, Ltd. Initial ification: 2/1/85 Jo Hawkins Donovan Current: 7/1/ E. Silver Spring Drive Expires: 5/31/06 Milwaukee, WI (414) (414) Howard Jansen Mental Health Day Treatment Program Nathan Zeiger 3903 W. Lisbon Avenue Milwaukee, WI (414) (414) Initial ification: 2/24/97 Current: 5/1/04 Expires: 2/28/06 Mental Health-Day Treatment for Children 2 HFS 40.11(2)(b) 1429 ICF Consultants, Inc. Marilyn Bonjean 1524 N. Farwell Avenue Milwaukee, WI (414) (414) ICF Consultants, Inc. 700 Pilgrim Parkway Elm Grove WI Initial ification: 10/1/88 Current: 1/1/04 Expires: 10/31/ Inner Dynamics Deborah Lau Schingen 230 W. Wells Street, #309 Milwaukee, WI (414) Inner Dynamics 331 E. Puetz Road Oak Creek WI Wauwatosa Presbyterian Church 2366 N. 80th Street Wauwatosa WI Initial ification: 1/30/80 Current: 5/1/03 Expires: 3/31/ Islamic Family & Social Services Waheedah Al-Amin 5150 N. 32nd Street Milwaukee, WI (414) Initial ification: 8/17/95 Current: 7/1/04 Expires: 12/31/04 CSAS-Day Treatment HFS 75.12

95 Page 95 of 203 ified Provider Address, Contact, Phone 1445 John M. Ivanoff Clinic, SC Initial ification: 6/1/82 John Ivanoff Current: 12/1/ W. Wisconsin Avenue, #1810 Expires: 11/30/04 Milwaukee, WI (414) Jewish Family Services Initial ification: 6/1/79 Joyce Appel Current: 6/1/ N. Jackson Street Expires: 8/31/04 Milwaukee, WI (414) (414) Jewish Family Services 5900 N. Pt. Washington Rd., #200 Milwaukee WI Kano Psychotherapy Initial ification: 9/1/94 Catherine Arney Current: 9/1/ N. Astor Street Expires: 8/31/05 Milwaukee, WI (414) Genesis Detoxification Center Initial ification: 7/1/88 John Monacelli Current: 5/1/ W. Highland Boulevard Expires: 8/31/04 Milwaukee, WI (414) CSAS-Medically Monitored Residential Detox HFS Lakeshore Clinic, Ltd. Kathleen Neville 3970 N. Oakland Avenue, #502 Milwaukee, WI (414) Lakeshore Clinic, Ltd./ Robert Dries, PhD 8112 W. Bluemound Road Milwaukee WI Lakeshore Clinic, Ltd./Karen Maroda, PhD 825 N. Jefferson St., #325 Milwaukee WI Lakeshore Clinic, Ltd./Patricia D'Auria, MS 620 Maple Avenue Waukesha WI Initial ification: 11/1/77 Current: 7/1/04 Expires: 5/31/06

96 Page 96 of 203 ified Provider Address, Contact, Phone 1509 Lighthouse Clinic Initial ification: 1/1/90 Hava Mendelberg Current: 2/18/ N. Downer Avenue, #215 Expires: 1/31/05 Milwaukee, WI (414) (414) Lighthouse Clinic N. Port Washington Mequon WI Lighthouse Clinic 3305 N 124th Street Brookfield WI Lutheran Social Services-Lapham Initial ification: 7/1/77 Leslie Luther Current: 12/1/ S. Layton Boulevard Expires: 7/31/04 Milwaukee, WI (414) Lutheran Social Services-Racine th Street Racine WI Lutheran Social Services-Waukesha W226 N555A E. Mound Street Waukesha WI Lutheran Social Services-Metro Counseling Office Initial ification: 6/1/83 Meg Groves Current: 12/1/ W. Vliet Street, #100 Expires: 6/30/04 Milwaukee, WI (414) (414) M & S Clinical Services, Inc. Mark Fossie 2821 N 4th Street, #516 Milwaukee, WI (414) Initial ification: 12/4/96 Current: 7/1/04 Expires: 2/28/ Matt Talbot Recovery Center Initial ification: 2/7/97 Sam Marjanov Current: 6/1/ W. North Avenue Expires: 2/28/06 Milwaukee, WI (414) (414) CSAS-Transitional Residential HFS 75.14

97 Page 97 of ified Provider Address, Contact, Phone Medical College of Wisconsin - Campus Clinic Psychiatry Constance Moynihan 1155 N. Mayfair Road Milwaukee, WI (414) (414) Initial ification: 7/1/96 Current: 6/1/04 Expires: 5/31/ Meta III Francine Feinberg N. Maryland Avenue Milwaukee, WI (414) Initial ification: 2/1/95 Current: 7/1/04 Expires: 9/30/04 CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Meta IV Francine Feinberg 2626 N. Bremen Street Milwaukee, WI (414) Initial ification: 2/1/95 Current: 7/1/04 Expires: 9/30/04 CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Midwest Center for Human Services- Milwaukee, LLC Jack Kaufman 817 N. Marshall Street Milwaukee, WI (414) Midwest Center for Human Services-Milwaukee, LLC 5546 N. Lydell Avenue Whitefish Bay WI Midwest Center for Human Services-Milwaukee, LLC 890 Elm Grove Road Elm Grove WI Initial ification: 7/1/91 Current: 3/1/03 Expires: 11/30/04

98 Page 98 of 203 ified Provider Address, Contact, Phone 1629 Milwaukee Center For Independence Initial ification: 4/1/81 Mark Voelz Current: 12/1/ N. Milwaukee Street Expires: 8/31/04 Milwaukee, WI (414) (414) Pro Mark Clinic 4380 N. Richards Street Milwaukee WI Southeast Campus 3333 S. Howell Avenue Millwaukee WI Westside Senior Day Center 5290 W. Center Street Milwaukee WI Milwaukee Center For Independence CSP Initial ification: 5/1/95 Mark Voelz Current: 8/1/ N. Holton Street, #105 Expires: 7/31/05 Milwaukee, WI (414) Mental Health-Community Support Program HFS Milwaukee County Behavioral Health Division Chris Morano 9501 Watertown Plank Road Milwaukee, WI (414) (414) Initial ification: 11/1/96 Current: 1/1/04 Expires: 10/31/05 Mental Health-Emergency Service 3 HFS Milwaukee County Behavioral Health Division-Downtown CSP Initial ification: 5/1/90 Krista Doughty Current: 5/1/ N. 4th Street, #300 Expires: 4/30/05 Milwaukee, WI (414) Mental Health-Community Support Program HFS Milwaukee County Mental Health Division - Southside CSP Initial ification: 5/1/90 Susan Smith Current: 5/1/ West Mitchell Street Expires: 2/28/05 Milwaukee, WI (414) Mental Health-Community Support Program HFS 63

99 Page 99 of 203 ified Provider Address, Contact, Phone 1642 Milwaukee Health Services, Inc. DBA Behavioral Health Services Center Initial ification: 5/1/94 Sheri Johnson Current: 7/1/ N. Fifth Street, # 206 Expires: 4/30/06 Milwaukee, WI (414) (414) Milwaukee Health Service Systems Terry Jones 4383 N. 27th Street Milwaukee, WI (414) Initial ification: 11/1/86 Current: 8/1/04 Expires: 8/31/04 CSAS-Narcotic Treatment HFS Milwaukee Health Service Systems II Cynthia Newton 4800 S. 10th Street, Unit 1 Milwaukee, WI (414) (414) Initial ification: 10/1/95 Current: 8/1/03 Expires: 7/31/05 CSAS-Narcotic Treatment HFS Milwaukee Mental Health Services- Community Support Program Arthur Noble 4957 W. Fond du Lac Avenue Milwaukee, WI (414) (414) Initial ification: 2/18/97 Current: 8/1/03 Expires: 7/31/04 Mental Health-Community Support Program HFS Milwaukee Wellness Clinic, Inc. Marti Marino 4465 N. Oakland Avenue Milwaukee, WI (414) (414) Initial ification: 10/1/78 Current: 1/1/04 Expires: 10/31/ Moresco-Goniu Psychological Services Carol Moresco-Goniu 2400 S. 90th Street, #110 Milwaukee, WI (414) (414) Initial ification: 11/1/94 Current: 1/1/04 Expires: 10/31/05

100 Page 100 of 203 ified Provider Address, Contact, Phone 1657 United Community Center Initial ification: 5/1/80 Ricardo Cisneros Current: 1/21/ S. 6th Street, 3rd Floor Expires: 9/30/05 Milwaukee, WI (414) CSAS-Day Treatment HFS New Concept Self Development Center, Inc. Initial ification: 6/1/77 Geri McFadden Current: 7/24/ W. Fond du Lac Avenue Expires: 7/31/04 Milwaukee, WI (414) (414) New Concept Self Development Center 1531 W. Vliet Street Milwaukee WI New Prospects Counseling Services Initial ification: 7/1/81 Sara Hoffman Current: 2/20/ N. Cass Street, 3rd Floor Expires: 7/31/04 Milwaukee, WI (414) New Prospects Counseling Services 930 E Knapp Street Milwaukee WI Newport Professionals, Ltd. Jeffrey Taxman 2015 E. Newport Avenue, #801 Milwaukee, WI (414) Initial ification: 4/15/93 Current: 5/1/04 Expires: 8/31/ North Shore Psychotherapy Associates Initial ification: 7/1/80 Marc Ackerman Current: 2/1/ N. Port Washington Rd., #150 Expires: 9/30/04 Milwaukee, WI (414) (414) Northshore Clinic & Consultants, Inc. Initial ification: 9/1/97 Jo Ellyn Schultz Current: 3/1/ East Buffalo Street, #300 Expires: 8/31/04 Milwaukee, WI (414)

101 Page 101 of 203 ified Provider Address, Contact, Phone 1722 Open Gate, Inc. Initial ification: 10/12/94 Jennifer Henry Current: 3/1/ N. 12th Street Expires: 9/30/05 Milwaukee, WI (414) (414) CSAS-Transitional Residential HFS Parkland Clinic Muni Patel 2600 N. Mayfair Road, #850 Milwaukee, WI (414) Initial ification: 3/15/91 Current: 7/1/04 Expires: 5/31/ Project Access, Inc. CSP C. Roger Zhong 809 S. 60th Street, #201 Milwaukee, WI (414) (414) Initial ification: 12/20/95 Current: 5/1/04 Expires: 2/28/06 Mental Health-Community Support Program HFS Psychiatric Consultants & Therapists, SC Initial ification: 8/1/82 Mary Jo Caminiti Current: 1/1/ E. Mason, #401 Expires: 7/31/04 Milwaukee, WI (414) Psychoanalytic Associates Mirella Sacilotto-Sharkey 1840 N. Farwell, #202 Milwaukee, WI (414) Initial ification: 4/15/90 Current: 7/1/04 Expires: 5/31/ Health Care For the Homeless of Milwaukee, Inc. CSP Mary Ann Patti 711 W. Capitol Drive, #205 Milwaukee, WI (414) Initial ification: 7/17/96 Current: 8/1/04 Expires: 6/30/05 Mental Health-Community Support Program HFS Renew Counseling Services Initial ification: 8/1/87 Bruce Croatt Current: 9/1/ W. Wisconsin Avenue, #520 Expires: 8/31/05 Milwaukee, WI (414) (414) CSAS-Day Treatment HFS Renew Counseling Services 7400 W. Brown Deer Road Brown Deer WI 53223

102 Page 102 of ified Provider Address, Contact, Phone Renew Counseling Services Bruce Croatt 1225 W. Mitchell Street, #223 Milwaukee, WI (414) (414) Initial ification: 4/1/85 Current: 9/1/03 Expires: 8/31/ Milwaukee Women's Center Behavioral Health Clinic Carol Mattner 611 N. Broadway St. #230 Milwaukee, WI (414) Milwaukee Women's Center Behavioral Health Clinic 5444 W Fond du Lac Avenue Milwaukee WI Silver Spring Psychotherapy Associates James Schwartz 5215 N. Ironwood Road, #115 Milwaukee, WI (414) (414) Initial ification: 2/1/88 Current: 3/1/04 Expires: 2/28/05 Initial ification: 5/1/93 Silver Spring Psychotherapy Associates Montgomery Hou 930 E. Knapp Street Milwaukee WI Current: 5/1/04 Expires: 7/31/04 CSAS-Day Treatment HFS Aurora Sinai Medical Center, Inc. Ardyce Peters 945 N. 12th Street Milwaukee, WI (414) (414) Initial ification: 10/1/87 Current: 3/1/02 Expires: 12/31/03 Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Day Treatment HFS 75.12

103 Page 103 of 203 ified Provider Address, Contact, Phone 1842 Covenant Behavioral Health - St. Michael Hospital Initial ification: 2/1/77 Carol Hess Current: 10/1/ W. Oklahoma Avenue, #203 Expires: 9/30/05 Milwaukee, WI (414) (414) Elmbrook Medical Clinic 1292 W Capitol Dr Pewaukee WI Fox Point Clinic 7950 N Port Washington Road Milwaukee WI Southeastern - Covenant Behavioral Health 2025 W. Oklahoma Avenue, #118 Milwaukee WI St. Aemilians-Lakeside, Inc. Initial ification: 3/1/85 Michael Boeder Current: 12/1/ W. Capitol Drive Expires: 8/31/04 Milwaukee, WI (414) Columbia St. Mary's Behavioral Medicine - Milwaukee Initial ification: 6/1/81 Tim Shininger Current: 1/1/ E. Newport Avenue, #409 Expires: 12/31/05 Milwaukee, WI (414) (414) Mental Health-Day Treatment HFS Columbia West W. Capitol Drive Wauwatosa WI CSAS-Day Treatment HFS Gateway Family Clinic 801 S. 70th Street Milwaukee WI St. Mary's Medical Clinic W. National Avenue West Allis WI 53227

104 Page 104 of ified Provider Address, Contact, Phone Covenant Behavioral Health - St. Michael Hospital Christine Sperry 2400 W. Villard Avenue Milwaukee, WI (414) Elmbrook Memorial Hospital W. North Avenue Brookfield WI Franciscan Woods W. North Avenue Brookfield WI Marian Franciscan Home 9632 W. Appleton Avenue Milwaukee WI St. Francis Hospital 3237 S. 16th Street Milwaukee WI St. Joseph Hospital 201 N Mayfair Road Milwaukee WI St. Josephs Hospital 5000 Chambers Street Milwaukee WI (414) Initial ification: 8/1/78 Current: 5/1/04 Expires: 2/28/06 Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox 1876 St. Rose Youth & Family Center Angie Brunhart 3801 N. 88th Street Milwaukee, WI (414) (414) Initial ification: 7/5/85 Current: 9/1/04 Expires: 8/31/ The Brown Stone Office of North Shore Psychotherapy Associates Ephraim Ciruzzi Frankel 1228 N. Astor Street, # 200 Milwaukee, WI (414) (414) The Counseling Center of Milwaukee, Inc. Cathy Arney 2038 N. Bartlett Avenue Milwaukee, WI (414) (414) Initial ification: 12/1/96 Current: 12/1/02 Expires: 6/30/04 Initial ification: 5/15/96 Current: 6/1/04 Expires: 5/31/06

105 Page 105 of 203 ified Provider Address, Contact, Phone 1928 Therapies East Associates Initial ification: 2/1/81 Laura Pagel Current: 7/1/ E. Knapp Street Expires: 4/30/06 Milwaukee, WI (414) (414) Wisconsin Community Services Thurgood Marshall House Initial ification: 5/1/92 Margo Neimon Current: 7/1/ N. 6th Street Expires: 6/30/06 Milwaukee, WI (414) CSAS-Transitional Residential HFS Transitional Living Services, Inc. Initial ification: 9/1/85 David Dropkin Current: 6/1/ S. 70th Street Expires: 5/31/05 Milwaukee, WI (414) (414) United Community Center Ricardo Cisneros 1011 S. 8th Street Milwaukee, WI (414) Initial ification: 10/3/97 Current: 3/1/04 Expires: 9/30/04 CSAS-Medically Monitored Treatment HFS Wisconsin Community Services Unlimited Potentials Initial ification: 6/1/86 Vicki Trone-Natwick Current: 2/3/ W. Wells Street, Rm. 504 Expires: 9/30/05 Milwaukee, WI (414) (414) CSAS-Day Treatment HFS Village at Manor Park Mental Health Clinic Kathleen Kos 3023 S. 84th Street Milwaukee, WI (414) Initial ification: 6/11/97 Current: 10/1/02 Expires: 5/31/ White's Residential AODA Treatment Facility, Inc. Initial ification: 1/7/98 Lanell White Current: 10/1/ W. North Avenue Expires: 9/30/04 Milwaukee, WI (414) CSAS-Transitional Residential HFS 75.14

106 Page 106 of 203 ified Provider Address, Contact, Phone 1992 Wisconsin Community Services Intensive Community Support Program Initial ification: 6/1/95 Jill Fuller Current: 6/1/ W. Wisconsin Avenue Expires: 5/31/05 Milwaukee, WI (414) (414) Mental Health-Community Support Program HFS Wisconsin Community Services- Forensic Community Support Program Jill Fuller 2023 W. Wisconsin Avenue Milwaukee, WI (414) Initial ification: 11/1/95 Current: 2/3/04 Expires: 10/31/04 Mental Health-Community Support Program HFS Wisconsin Community Services The Joshua Glover Center Initial ification: 5/1/90 Christopher Roberts Current: 7/1/ N. Booth Street Expires: 4/30/05 Milwaukee, WI (414) CSAS-Transitional Residential HFS Wisconsin Community Services Outpatient Mental Health Program Initial ification: 6/1/77 Colleen Dublinski Current: 7/1/ W. Wisconsin Avenue Expires: 8/31/04 Milwaukee, WI (414) Wisconsin School of Professional Psychology/WSPP Psychology Center Kathleen Rusch 9120 W. Hampton Avenue, #90 Milwaukee, WI (414) Initial ification: 10/1/92 Current: 12/1/02 Expires: 8/31/ Willowglen Therapy Associates Initial ification: 8/1/92 Oriana Carey Current: 8/1/ N. Farwell Avenue Expires: 7/31/06 Milwaukee, WI (414) (414) Cornerstone 3109 W. Lisbon Avenue Milwaukee WI 53208

107 Page 107 of ified Provider Address, Contact, Phone Wisconsin Community Services Wings Program Margo Neimon 2303 W. Galena Street Milwaukee, WI (414) Initial ification: 7/1/94 Current: 7/1/04 Expires: 6/30/06 CSAS-Transitional Residential HFS Meta House/Riverwest Campus (South) Francine Feinberg 2618 N. Bremen Street Milwaukee, WI (414) Initial ification: 5/20/98 Current: 7/1/04 Expires: 9/30/04 CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Harambee Ombudsman - Imani II Sherman Hill 3614 N. 39th Street Milwaukee, WI (414) (414) Initial ification: 8/28/96 Current: 3/1/04 Expires: 11/30/04 CSAS-Transitional Residential HFS Access Mental Health Clinic Victor Likhterev 1442 N. Farwell Ave., #104 Milwaukee, WI (414) Initial ification: 7/1/98 Current: 8/1/04 Expires: 7/31/ Genesis Women's Residential Program John Monacelli 5427 W. Villard Street Milwaukee, WI (414) (414) Initial ification: 5/15/98 Current: 6/1/04 Expires: 5/31/06 CSAS-Transitional Residential HFS The D & S Healing Center Tracy Treacy 1924 N Farwell Avenue Milwaukee, WI (414) Initial ification: 8/1/98 Current: 12/1/02 Expires: 11/30/ Guest House Clinic: AODA Counseling Services Sharee Hurtgen 1216 N. 13th Street Milwaukee, WI (414) Initial ification: 7/15/92 Current: 12/1/02 Expires: 7/31/04

108 Page 108 of 203 ified Provider Address, Contact, Phone 2111 Helen F. Jurgensen, ICSW Initial ification: 5/1/99 Helen Jurgensen Current: 7/1/ W. Vliet Street Expires: 8/31/04 Milwaukee, WI (414) (414) Ravenswood Clinic Anthony Werth, Jr N. Prospect Avenue, #214 Milwaukee, WI (414) (414) Initial ification: 6/23/99 Current: 7/1/04 Expires: 8/31/ Transitional Living Services, Inc. Community Support Program Initial ification: 9/1/85 Jennifer Wittwer Current: 7/1/ S. 70th Street Expires: 6/30/05 Milwaukee, WI (414) (414) Mental Health-Community Support Program HFS St. Charles Youth and Family Services Initial ification: 1/1/98 Julie Murdoch Current: 4/1/ S. 84th Street Expires: 12/31/04 Milwaukee, WI (414) (414) Mental Health-Day Treatment for Children 2 HFS 40.11(2)(b) 2172 Meta House, Inc. Stacey Yonkoski 2266 N. Prospect Avenue, 4th Floor Milwaukee, WI (414) (414) Initial ification: 11/24/99 Current: 1/1/04 Expires: 11/30/05 CSAS-Day Treatment HFS Cornerstone Counseling Services, Inc. Scott Allen W. Park Place, #100 Milwaukee, WI (262) Initial ification: 2/22/00 Current: 3/1/04 Expires: 2/28/06 Mark Isaacs

109 Page 109 of 203 ified Provider Address, Contact, Phone 2207 The Kelley Clinic Initial ification: 5/1/99 Jane Kelley Current: 5/1/ N. Prospect Avenue Expires: 4/30/06 Milwaukee, WI (414) White's Residential AODA Treatment Facility, Inc. Lanell White 4020 W. Burleigh Street Milwaukee, WI (414) Initial ification: 3/23/00 Current: 10/1/03 Expires: 9/30/04 CSAS-Transitional Residential HFS Sue Sittler Nelson, MSW Psychotherapy Associates Sue Nelson 828 North Broadway, #510 Milwaukee, WI (414) Initial ification: 4/14/00 Current: 7/1/04 Expires: 4/30/ Directors of Continuation Services, Inc. Initial ification: 5/5/00 Thomas Dale Current: 6/1/ N. Teutonia Avenue Expires: 5/31/05 Milwaukee, WI (414) (414) Bell Therapy - South 68th Street Initial ification: 7/1/00 Jill Letizia Current: 7/1/ S. 68th Street Expires: 8/31/04 Milwaukee, WI (414) Mental Health-Day Treatment HFS IVOCC Behavioral Health Clinic Jon Christensen 3330 W. Wells Street Milwaukee, WI (414) IVOCC Martin Luther King 2669 N. Martin Luther King Drive Milwaukee WI Initial ification: 8/23/00 Current: 4/16/04 Expires: 4/30/ ASHA Family Services Antonia Vann 6001 W. Center Street, #97LL Milwaukee, WI (414) Initial ification: 8/11/00 Current: 12/1/02 Expires: 8/31/04

110 Page 110 of 203 ified Provider Address, Contact, Phone 2246 Health Care For the Homeless of Milwaukee, Inc. Initial ification: 8/1/00 Elizabeth Aldred Current: 8/1/ W. Capitol Drive Expires: 7/31/06 Milwaukee, WI (414) (414) Aurora Behavioral Health Center - Parkway Kate Connelly 2906 S. 20th Street Milwaukee, WI (414) (414) Initial ification: 11/1/00 Current: 3/1/03 Expires: 10/31/ Bell Therapy Outpatient Clinic Leonard Dziubla 6414 W. Fond du lac Avenue Milwaukee, WI (414) Initial ification: 10/1/87 Current: 10/1/02 Expires: 9/30/ Bell Therapy Services Mental Health Outpatient Clinic Leonard Dziubla 4941 W. Fond du Lac Avenue Milwaukee, WI (414) Initial ification: 8/20/01 Current: 12/1/02 Expires: 8/31/ Associated Counseling and Training Services, Inc. Clarence Johnson 6815 W. Capitol Drive, #310 Milwaukee, WI (414) (414) Initial ification: 8/28/01 Current: 9/1/03 Expires: 8/31/04 CSAS-Day Treatment HFS Solution Group, Inc. Jimmy McClendon 2460 W. Lisbon Avenue Milwaukee, WI (414) (414) Initial ification: 11/1/01 Current: 3/1/04 Expires: 10/31/04 CSAS-Day Treatment HFS 75.12

111 Page 111 of 203 ified Provider Address, Contact, Phone 2334 Horizons, Inc. Linda Hall 2511 W. Vine Street Milwaukee, WI (414) (414) Initial ification: 11/1/01 Current: 3/10/03 Expires: 10/31/ United Community Center Latinas Unidas Ricardo Cisneros 1007 S. 8th Street Milwaukee, WI (414) Initial ification: 11/1/01 Current: 3/1/04 Expires: 9/30/04 CSAS-Medically Monitored Treatment HFS Howard Jansen Day Treatment 2 Initial ification: 4/3/02 Nathan Zeiger Current: 4/1/ W. Highland Boulevard Expires: 3/31/06 Milwaukee, WI (414) (414) Mental Health-Day Treatment for Children 2 HFS 40.11(2)(b) 2367 La Causa, Inc. Chyra Trost 1545 S. Layton Boulevard Milwaukee, WI (414) Initial ification: 4/22/02 Current: 5/1/03 Expires: 4/30/ Social Development Commission Youth Development Program Todd Beadle 4041 N. Richards Street Milwaukee, WI (414) ) - Southside Neighborhood Service Center 931 W. Madison Street Milwaukee WI Initial ification: 4/29/02 Current: 5/1/03 Expires: 4/30/ Medical College of Wisconsin Campus Clinic South Connie Moynihan 1231 W. Mitchell Street Milwaukee, WI (414) (414) Initial ification: 5/21/02 Current: 6/1/03 Expires: 5/31/05

112 Page 112 of 203 ified Provider Address, Contact, Phone 2380 Aro Counseling Centers, Inc. Patricia Pendowski 5678 W. Brown Deer Road, #102 Milwaukee, WI (414) (262) Initial ification: 5/29/02 Current: 6/1/03 Expires: 5/31/05 CSAS-Day Treatment HFS Catherine Q. Rousseau Catherine Rousseau 1661 N. Water Street, #406 Milwaukee, WI (414) (414) Initial ification: 6/13/02 Current: 6/1/03 Expires: 5/31/ Westlake Clinic Jessica Suhr W. National Avenue, #300 Milwaukee, WI (414) (414) Initial ification: 10/1/02 Current: 5/1/04 Expires: 9/30/ Malen & Associates Carolee Malen 759 N. Milwaukee Street, #200 Milwaukee, WI (414) (414) Initial ification: 10/1/02 Current: 5/1/04 Expires: 1/31/ Catholic Charities - Milwaukee John Nesseth 7635 W. Oklahoma Avenue, #104 Milwaukee, WI (414) (414) Initial ification: 8/12/02 Current: 6/1/04 Expires: 5/31/ Aro Counseling Centers, Inc. John Rutter 6815 W. Capitol Drive, #207 Milwaukee, WI (262) (414) Initial ification: 11/4/02 Current: 1/1/04 Expires: 10/31/05 CSAS-Day Treatment HFS 75.12

113 Page 113 of 203 ified Provider Address, Contact, Phone 2406 AIDS Resource Center of Wisconsin Laura Gentry 820 N. Plankinton Avenue Milwaukee, WI (414) (414) Wisconsin House 4734 N. 39th Street Milwaukee WI Initial ification: 10/2/02 Current: 10/1/03 Expires: 9/30/ New Life Family Service, Inc. Eric Williams 6815 W. Capitol Drive, #119 Milwaukee, WI (414) (414) Initial ification: 10/1/02 Current: 10/1/03 Expires: 9/30/ Omni Enrichment, Inc. Initial ification: 2/1/03 Barbara Tripp Current: 9/1/ W. Vliet Street Expires: 2/28/06 Milwaukee, WI (414) (414) Children's Hospital of Milwaukee Mark Lyday 1020 N. 12th Street, 5th Floor Milwaukee, WI (414) Initial ification: 1/22/03 Current: 1/22/03 Expires: 12/31/ Cornerstone Counseling Services Initial ification: 2/1/03 Scott Allen Current: 2/1/ W. Burleigh, Suite 250 Expires: 1/31/06 Mark Isaacs Milwaukee, WI (414) (414) Freshstart Counseling Center Jermaine Reed 7101 W. Capitol Drive Milwaukee, WI (414) (414) Initial ification: 3/10/03 Current: 3/1/04 Expires: 8/31/04

114 Page 114 of 203 ified Provider Address, Contact, Phone 2434 Health Psychology Associates Geraldine Banks # W. Kinnickinnic River Pkwy Milwaukee, WI (414) (414) Initial ification: 12/10/02 Current: 1/1/04 Expires: 12/31/ Mi Familia Initial ification: 5/16/03 Isabelle Reyes Current: 5/1/ S. 13th Street Expires: 8/31/04 Milwaukee, WI (414) (414) Positive Conclusions, LLC Initial ification: 7/2/03 Ecclesiastes Allen Current: 7/1/ W. Mill Road Expires: 10/31/04 Milwaukee, WI (414) (414) Benedict Center Women's Harm Reduction Program Donna Hietpas 229 E. Wisconsin Avenue, #1250 Milwaukee, WI (414) (414) Initial ification: 1/15/03 Current: 5/1/04 Expires: 12/31/ Renew Counseling Services Bruce Croatt 7400 W. Brown Deer Road Milwaukee, WI (414) (414) Initial ification: 1/14/03 Current: 3/1/04 Expires: 12/31/ Brighter Days Counseling Center Robert Knoop 6815 W Capitol Drive, #305 Milwaukee, WI (262) Initial ification: 9/11/03 Current: 9/11/03 Expires: 8/31/ Matthias Stutz & Associates, SC Michael John Giffin 1201 N. Prospect Avenue Milwaukee, WI (414) Initial ification: 8/28/03 Current: 8/28/03 Expires: 8/31/04

115 Page 115 of 203 ified Provider Address, Contact, Phone 2473 Fokus Family Services Armande McRath 2821 N. 4th Street Milwaukee, WI (414) (414) Initial ification: 8/28/03 Current: 8/28/03 Expires: 8/31/04 CSAS-Day Treatment HFS Milwaukee Academy Outpatient Mental Health Clinic Michael Kluesner 9501 Watertown Plank Road Milwaukee, WI (414) Initial ification: 7/10/03 Current: 7/1/04 Expires: 6/30/ Gateway To Change Initial ification: 10/29/03 Glenda Hampton Current: 5/1/ W. Capitol Drive Expires: 11/30/04 Milwaukee, WI (414) (414) CSAS-Day Treatment HFS Current Initiatives Counseling Service, LLC Lashawnda Davis 7945 N. 76th Street Milwaukee, WI (414) (414) Initial ification: 1/14/04 Current: 5/13/04 Expires: 12/31/ Sebastian Family Psychology Practice, LLC Sebastian Ssempijja 5626 N. 91st Street, #301 Milwaukee, WI (414) (414) Initial ification: 1/14/04 Current: 1/14/04 Expires: 12/31/ Shore Counseling and Consulting Clinic Thomas Troast 6110 N. Port Washington Road Milwaukee, WI (414) (414) Shore Clinic 910 Milwaukee Avenue South Milwaukee WI Initial ification: 11/24/03 Current: 11/24/03 Expires: 11/30/04

116 Page 116 of 203 ified Provider Address, Contact, Phone 2509 Word of Hope Ministries ATODA Program Initial ification: 3/1/04 Lillie Patterson Current: 3/1/ N. 40th Street Expires: 2/28/05 Milwaukee, WI (414) (414) Shoreside Therapies, LLC Initial ification: 6/1/04 Nancy Shertok Current: 6/1/ N. Oakland Avenue Expires: 5/31/05 Milwaukee, WI (414) (414) Aro Counseling Centers, Inc. Kathy Murawski 6416 S. Howell Avenue Oak Creek, WI (414) (414) Aro Counseling Centers th Street Kenosha WI Initial ification: 11/1/99 Current: 1/1/04 Expires: 10/31/05 CSAS-Day Treatment HFS Shorewood Counseling Associates Sandra Blais 4465 N. Oakland Avenue Shorewood, WI (414) Initial ification: 12/22/92 Current: 4/1/04 Expires: 12/31/ Aurora Behavioral Health Center - Airport Katherine Connelly 2000 E. Layton Avenue, #250 St. Francis, WI (414) (414) Initial ification: 1/13/03 Current: 3/1/04 Expires: 12/31/ Achievement Associates, Ltd. Initial ification: 7/1/93 Neena Florsheim Current: 3/22/ N. Mayfair Road, #215 Expires: 5/31/05 Wauwatosa, WI (262) Achievement Associates, Ltd N. Grandview Blvd. South Bldg., #205 Waukesha WI Mark Isaacs

117 Page 117 of 203 ified Provider Address, Contact, Phone 1070 Associated Psychiatric & Consulting Services Initial ification: 3/1/78 Treva Leupold Current: 1/1/ W. North Avenue, #350 Expires: 9/30/04 Wauwatosa, WI (414) Associated Women Psychotherapists, S.C. Initial ification: 7/1/83 Anna Campbell Current: 8/1/ W. North Avenue, #208 Expires: 7/31/04 Wauwatosa, WI (414) Christian Counseling Services Initial ification: 7/1/96 Beverly Yahnke Current: 7/1/ N. Mayfair Road, #870 Expires: 8/31/04 Wauwatosa, WI (414) WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling John Juern 2401 N. Mayfair Road, #308 Wauwatosa, WI (414) Initial ification: 12/1/87 Current: 2/5/03 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa W175 N11163 Stonewood Drive Germantown WI Expires: 11/30/04 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa W. Bluemound Road Brookfield WI WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 9555 S. Howell Avenue Oak Creek WI WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 120 N. Main Street West Bend WI WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 6800 N. 76th Street Milwaukee WI 53223

118 Page 118 of 203 ified Provider Address, Contact, Phone 1267 Curative Care Network Initial ification: 6/1/77 Robert Coons Current: 5/1/ N. 92nd Street Expires: 3/31/06 Wauwatosa, WI (414) Curative at Isaac Coggs Community Health Center 2770 N. 5th Street Milwaukee WI Curative Rehabilitation Services 1645 S. 36th Street Milwaukee WI Curative Rehabilitation Services 5071 S. Lake Drive Milwaukee WI Encompass, Inc. Effective Mental Health Services Laura Schulz 2421 N. Mayfair Road, #300 Wauwatosa, WI (414) (414) Initial ification: 11/1/93 Current: 2/1/03 Expires: 10/31/ Family Care Psychological Services Raymond Lueck 2500 Mayfair Road, #560 Wauwatosa, WI (414) (414) Family Care Psychological Services 2725A Hillside Drive Delafield WI Initial ification: 10/15/90 Current: 11/1/03 Expires: 10/31/ Family Counseling Center, LLC Initial ification: 2/1/90 Mary Nervig Current: 2/1/ W. Bluemound Road, #106 Expires: 1/31/05 Wauwatosa, WI (414) Inner Resources, Inc. Initial ification: 6/1/94 Laura Pauly Current: 7/1/ N. Mayfair Road, #370 Expires: 5/31/06 Wauwatosa, WI (414)

119 Page 119 of ified Provider Address, Contact, Phone Lutheran Counseling and Family Services of Wisconsin Chuck Meseck 3800 N. Mayfair Road Wauwatosa, WI (414) (414) LCFS - First Immanuel Lutheran Church W67 N622 Evergreen Boulevard Cedarburg WI LCFS - St. John Lutheran Church 809 S. Sixth Avenue West Bend WI LCFS - St. John Lutheran Church 4850 S. Lake Drive Cudahy WI LCFS - St. Paul Lutheran Church 210 E. Pleasant Street Oconomowoc WI Initial ification: 3/1/78 Current: 6/1/04 Expires: 3/31/06 CSAS-Day Treatment HFS Miller Psychological & Family Services Bernadette Miller 2600 N. Mayfair Road, #510 Wauwatosa, WI (414) Initial ification: 4/1/94 Current: 4/1/03 Expires: 3/31/ Milwaukee County Mental Health Division Suzanne Schuler 9455 Watertown Plank Road Wauwatosa, WI (414) (414) Initial ification: 8/1/77 Current: 11/1/03 Expires: 10/31/05 Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Emergency HFS 34.3 Service 3 Mental Health-Inpatient HFS 61.71

120 Page 120 of ified Provider Address, Contact, Phone Aurora Psychiatric Hospital, Inc. Jamie Lewiston 1220 Dewey Avenue Wauwatosa, WI (414) Initial ification: 9/1/79 Current: 5/1/04 Expires: 2/28/06 Mental Health-Day Treatment for HFS Children (2)(c) Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS CSAS-Transitional Residential HFS Pastoral Counseling Service of the Greater Milwaukee Area Steven Fringer 2825 N. Mayfair Road Wauwatosa, WI (414) Initial ification: 8/7/95 Pastoral Counseling Service of the Greater Milwaukee Are 4465 N. Oakland Avenue Shorewood WI Pastoral Counseling Service of the Greater Milwaukee Are 745 Main Street Racine WI Current: 12/1/02 Expires: 7/31/ Psychiatric Consultants & Therapists, SC Mary Jo Caminiti 1220 Dewey Ave., #207 Wauwatosa, WI (414) Initial ification: 1/1/83 Current: 5/1/03 Expires: 11/30/ Reese Therapy & Associates Mary Ann Reese W. North Avenue, #314 Wauwatosa, WI (414) Reese Therapy & Associates Reese Therapy - Waukesha Waukesha WI Initial ification: 10/1/93 Current: 10/1/02 Expires: 9/30/ Maple Avenue

121 Page 121 of ified Provider Address, Contact, Phone Stillwater Counseling Center Helen Ponec 1109 N. Mayfair Road Wauwatosa, WI (414) Initial ification: 2/1/96 Current: 3/1/03 Expires: 1/31/ Turcott Medical and Psychiatric Associates Richard Turcott 2600 N. Mayfair Road, #785 Wauwatosa, WI (414) (414) Initial ification: 2/1/78 Current: 10/1/02 Expires: 9/30/ Turcott-Nielsen Psychotherapy Associates Jill Turcott-Nielsen W. North Avenue, #225 Wauwatosa, WI (414) Initial ification: 5/1/94 Current: 5/1/04 Expires: 4/30/ Valentin Clinic Cynthia Valentin 1220 Dewey Avenue Wauwatosa, WI (414) (414) Initial ification: 3/1/92 Current: 9/1/03 Expires: 8/31/ Solutions Behavioral Health Group John Briggs W. Burleigh Wauwatosa, WI (414) Initial ification: 4/1/99 Current: 6/1/04 Expires: 8/31/ Childynamics, LLC Isabela Sardas W. North Avenue, #110 Wauwatosa, WI (414) (414) Initial ification: 3/15/00 Current: 3/1/03 Expires: 2/28/05 Mental Health-Day Treatment for HFS Children (2)(b) 2238 Summit Psychology Clinic, SC Jeanne Herzog 933 N. Mayfair Road, #303 Wauwatosa, WI (414) Initial ification: 8/24/00 Current: 12/1/02 Expires: 8/31/04

122 Page 122 of ified Provider Address, Contact, Phone Sheryl A. Van Haren, MSW Sheryl VanHaren 7635 W. Bluemound Road, #206 Wauwatosa, WI (414) (414) Initial ification: 9/28/00 Current: 10/1/03 Expires: 9/30/ Professional Services Group, Inc. Brian Wolf 2401 N. Mayfair Road, #20 Wauwatosa, WI (414) Initial ification: 4/17/02 Current: 6/1/03 Expires: 4/30/ Medical Associates Health Centers Julie Mondroski 2421 N. Mayfair Road, Suite 200 Wauwatosa, WI (414) Medical Associates Health Centers 2131 W. Washington Street West Bend WI Initial ification: 2/1/03 Current: 2/1/04 Expires: 1/31/06 Mark Isaacs 2518 Aurora Behavioral Health Center - Wauwatosa Kate Connelly 1220 Dewey Avenue Wauwatosa, WI (414) (414) Initial ification: 3/1/04 Current: 3/1/04 Expires: 2/28/ Alternatives In Psychological Consultation, S.C. Daniel Baldwin 6227 W. Greenfield Avenue, #202 West Allis, WI (414) Alternatives In Psychological Consultation, S.C W. Lisbon Avenue, #200 Milwaukee WI Initial ification: 11/20/97 Current: 12/1/03 Expires: 11/30/04 Mental Health-Day Treatment for HFS Children (2)(a) CSAS-Day Treatment HFS 75.12

123 Page 123 of 203 ified Provider Address, Contact, Phone 1114 Brotoloc Outpatient Clinic Initial ification: 4/1/98 Marsha Snyder Current: 5/1/ W. Burnham Expires: 7/31/04 West Allis, WI (414) (414) Brotoloc Outpatient Clinic - Lakeshores Office th Avenue Kenosha WI Northshore Clinic & Consultants, Inc. Initial ification: 9/1/97 Joy Myers Current: 12/1/ S. 102nd Street, #101 Expires: 8/31/04 West Allis, WI (414) Northshore Clinic & Consultants, Inc. 175 E. Wisconsin Avenue Oconomowoc WI Stress Management and Mental Health Clinics Gary Major W. Greenfield Avenue West Allis, WI (414) Stress Management and Mental Health Clinics W156 N11387 Pilgrim Road Germantown WI Stress Management and Mental Health Clinics 6233 Bankers Road #2 Racine WI Stress Management and Mental Health Clinics 333 Bishops Way Brookfield WI Initial ification: 6/1/80 Current: 12/1/02 Expires: 8/31/ Temenos Counseling Services Fred Gustafson 7441 W. Greenfield Avenue West Allis, WI (414) Temenos Counseling Services 123 Hospital Drive Watertown WI Initial ification: 10/9/91 Current: 3/1/03 Expires: 10/31/04

124 Page 124 of ified Provider Address, Contact, Phone West Allis Psychiatric Associates Donald Feinsilver 2424 S. 90th Street, #402 West Allis, WI (414) Initial ification: 12/27/93 Current: 3/1/03 Expires: 12/31/ Rogers Memorial Hospital - Milwaukee Earl Kessler W. Lincoln Avenue West Allis, WI (414) (414) Initial ification: 5/1/00 Current: 7/1/04 Expires: 4/30/06 Mental Health-Day Treatment for HFS Children (2)(b) Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Day Treatment HFS Mary Determan MSW Mary Determan 8410 W. Cleveland Avenue West Allis, WI (414) Initial ification: 3/22/02 Current: 5/1/03 Expires: 3/31/ Counseling and Transition Center Theron Mills 8410 W. Cleveland West Allis, WI (414) (414) Initial ification: 4/30/02 Current: 5/1/03 Expires: 4/30/ Aurora Behavioral Health Center - Women's Pavilion Katherine M. Connelly 8901 W. Lincoln Avenue West Allis, WI (414) (414) Initial ification: 7/12/02 Current: 7/1/04 Expires: 8/31/04

125 Page 125 of ified Provider Address, Contact, Phone Southeastern Wisconsin Life Skills Center, LLC Lillian Sardina W. Oklahoma Avenue West Allis, WI (414) (414) Initial ification: 1/28/03 Current: 5/1/04 Expires: 1/31/06 CSAS-Day Treatment HFS QAM - Quality Addiction Management Charles Engel 4701 W. National Avenue West Milwaukee, WI (414) Initial ification: 6/19/00 Current: 7/1/04 Expires: 8/31/06 Mark Isaacs CSAS-Narcotic Treatment HFS Marcia O'Boyle and Associates Marcia O'Boyle 5594 N. Hollywood Avenue Whitefish Bay, WI (414) Initial ification: 10/1/01 Current: 2/1/03 Expires: 9/30/ Hazelden Mark Sheets Pleasant Valley Road Center City, MN (651) Initial ification: 5/1/88 Current: 5/1/03 Expires: 4/30/05 County / State: Minnesota Roderic Senn CSAS-Medically Monitored HFS Residential Detox CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Miller-Dwan Medical Center Kathleen Huntley 502 E. Second Street Duluth, MN (218) (218) Initial ification: 9/1/87 Current: 12/1/02 Expires: 11/30/04 County / State: Minnesota Roderic Senn Mental Health-Day Treatment for HFS Children (2)(b) Mental Health-Adolescent HFS Inpatient Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Treatment HFS 75.10

126 Page 126 of ified Provider Address, Contact, Phone St. Luke's Hospital Jo Ann Hoag 915 E. First Street Duluth, MN (218) Initial ification: 2/1/95 Current: 2/1/03 Expires: 1/31/05 County / State: Minnesota Roderic Senn Mental Health-Inpatient HFS Duluth Detoxification Center David Kallberg 1402 E. Superior Street Duluth, WI (218) Initial ification: 9/1/98 Current: 9/1/02 Expires: 8/31/04 County / State: Minnesota CSAS-Medically Monitored Residential Detox Roderic Senn HFS Miller-Dwan Medical Center Kathleen Huntley 330 E. Second Street Duluth, MN (218) (218) Initial ification: 10/1/98 Current: 12/1/02 County / State: Minnesota Expires: 11/30/04 Roderic Senn Mental Health-Day Treatment HFS CSAS-Day Treatment HFS St. Luke's Mental Health Services Jo Ann Hoag 220 N. Sixth Avenue, East Duluth, MN (218) Initial ification: 5/1/01 Current: 5/1/03 Expires: 4/30/05 County / State: Minnesota Roderic Senn 1399 Hazelden Center For Youth & Families James Steinhagen th Avenue, North Plymouth, MN (763) Initial ification: 3/1/90 Current: 4/1/03 Expires: 3/31/05 County / State: Minnesota K. L. Polly Wong CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Hazelden Mental Health Centers Plymouth Susan Hoisington th Avenue, North Plymouth, MN (763) Initial ification: 11/5/01 Current: 4/1/03 County / State: Minnesota Expires: 3/31/05 K. L. Polly Wong

127 Page 127 of ified Provider Address, Contact, Phone Fairview Red Wing Health Services Sarah Shippy 1407 W. Fourth Street Red Wing, MN (651) Fairview Red Wing Detention Center Satellite 430 W. Sixth Street Red Wing MN Initial ification: 6/1/96 Current: 3/1/02 Expires: 7/31/03 County / State: Minnesota Roderic Senn CSAS-Transitional Residential HFS Minnesota Indian Primary Residential Treatment Center, Inc. Mash-ka-wisen Elwin Benton P.O. Box 66 Sawyer, MN (218) (218) Initial ification: 12/1/87 Current: 6/1/03 Expires: 5/31/05 County / State: Minnesota CSAS-Medically Monitored Treatment Roderic Senn HFS United Hospital - Behavioral Health Services Susan Tabor 333 N. Smith Avenue St. Paul, MN (651) (651) Initial ification: 2/3/00 Current: 5/1/03 Expires: 4/30/05 County / State: Minnesota K. L. Polly Wong Mental Health-Adolescent HFS Inpatient Mental Health-Inpatient HFS Hazelden Mental Health Centers St. Paul Susan Hoisington 680 Stewart Avenue St. Paul, MN (763) Initial ification: 11/19/01 Current: 11/1/02 County / State: Minnesota Expires: 10/31/04 K. L. Polly Wong 1342 FamilyMeans Patricia Rogers 1875 Northwestern Avenue, S. Stillwater, MN (651) Initial ification: 2/1/89 Current: 5/1/04 Expires: 1/31/06 County / State: Minnesota Roderic Senn 2009 Winona Counseling Clinic Michelle Johnson 111 Market Street, #3A Winona, MN (507) (507) Associates in Counseling 115 Fifth Avenue, South, #523 LaCrosse WI Initial ification: 9/1/88 Current: 8/1/03 Expires: 7/31/04 County / State: Minnesota Roderic Senn

128 Page 128 of ified Provider Address, Contact, Phone Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 310 W. Main Street Sparta, WI (608) Initial ification: 5/1/94 Franciscan-Skemp Healthcare Behavioral Health Services 134 N. Leonard Street West Salem WI Current: 6/1/03 Expires: 5/31/05 County / State: Monroe K. L. Polly Wong 1654 Monroe County Department of Human Services Susan Rettler Community Services Center A Highway B Sparta, WI (608) Initial ification: 10/1/75 Current: 12/1/02 Expires: 11/30/04 County / State: Monroe K. L. Polly Wong Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Gundersen Lutheran Medical Center, Inc. - Behavioral Health Rebecca Cleveland 103 S. Water Street Sparta, WI (608) Initial ification: 11/20/00 Current: 11/1/03 County / State: Monroe Expires: 10/31/05 K. L. Polly Wong 2282 Monroe County Community Support Program Susan Rettler Community Services Center A Highway B Sparta, WI (608) Initial ification: 12/1/99 Current: 12/1/02 Expires: 11/30/04 County / State: Monroe Mental Health-Community Support Program K. L. Polly Wong HFS Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 325 Butts Avenue Tomah, WI (608) Initial ification: 9/1/95 Current: 6/1/04 Expires: 5/31/06 County / State: Monroe K. L. Polly Wong

129 Page 129 of ified Provider Address, Contact, Phone Ho-Chunk Nation Alcohol/Drug Program Services Terry LittleWolf Hwy 21 P. O. Box 248 Tomah, WI (608) (608) Initial ification: 6/1/88 Current: 11/1/03 Expires: 10/31/05 County / State: Monroe K. L. Polly Wong 1521 Gundersen Lutheran Medical Center, Inc. Behavioral Health Rebecca Cleveland River Park Suites 601 N. Superior Avenue Tomah, WI (608) Initial ification: 1/1/91 Current: 12/1/03 Expires: 11/30/04 County / State: Monroe K. L. Polly Wong 1719 Oconto County Department of Human Services Craig Johnson 501 Park Avenue Oconto, WI (920) Oconto County Department Human Services State Road Hwy 32 Lakewood WI Initial ification: 4/1/79 Current: 4/8/03 Oconto County Department Human Services New View Ind 164 W. Park Street Gillett WI Expires: 8/31/04 County / State: Oconto Frank Bellaire Mental Health-Emergency HFS 34.2 Service 2 CSAS-Prevention HFS CSAS-Emergency Outpatient HFS Professional Family Resources, Inc. Gail Sell 361 Van Dyke Street Oconto, WI (920) (920) Initial ification: 12/8/99 Current: 1/1/03 County / State: Oconto Expires: 12/31/04 Frank Bellaire 2245 Oconto County Department of Human Services CSP Craig Johnson 501 Park Avenue Oconto, WI (920) Initial ification: 4/1/79 Current: 9/1/02 Expires: 8/31/04 County / State: Oconto Mental Health-Community Support Program Frank Bellaire HFS Bellin Psychiatric Center Behavioral Health Clinic Oconto Falls Stacie Herzog 835 S. Main Street Oconto Falls, WI (920) Initial ification: 6/23/00 Current: 7/1/03 County / State: Oconto Expires: 6/30/04 Frank Bellaire

130 Page 130 of 203 ified Provider Address, Contact, Phone 2316 North Central Counseling Services Joseph Roe & Assoc d/b/a Shirley Limberg Initial ification: 3/1/00 County / State: Oneida Shirley Limberg Current: 4/1/ Highway 51 North Expires: 3/31/06 Steven Ojibway Minocqua, WI (715) (715) Christ the Servant Lutheran Church Highway 13 South Park Falls WI Marshfield Clinic Counseling Center Charles Michels 9792 Highway 70, West Minoqua, WI (715) (715) Marshfield Clinic Counseling Center 50 Sherry Avenue Park Falls WI Initial ification: 11/1/89 Current: 11/1/03 County / State: Oneida Expires: 10/31/05 Steven Ojibway 1227 Community Mental Health Services, Inc. Erwin Teichmiller 1831 N. Stevens Street Rhinelander, WI (715) Community Mental Health Services,Inc 609 Wall Street Eagle River WI Initial ification: 10/1/86 Current: 4/1/03 County / State: Oneida Expires: 3/31/05 Steven Ojibway 1426 Community Support Progam of the Human Service Center Initial ification: 9/1/80 County / State: Oneida Bonnie LaRose Current: 6/1/ E. Timber Drive Expires: 5/31/06 Steven Ojibway Rhinelander, WI (715) Mental Health-Community Support Program HFS 63

131 Page 131 of ified Provider Address, Contact, Phone Human Service Center - Northwoods Guidance Center Tom Huiting 705 East Timber Drive Rhinelander, WI (715) (715) Human Service Center - Northwoods Guidance Center 213 E. Madison Street Crandon WI Human Service Center - Northwoods Guidance Center 150 Hospital Road Eagle River WI Human Service Center - Northwoods Guidance Center State Hwy 70 West Minocqua WI Initial ification: 9/1/80 Human Service Center - Northwoods Guidance Center/Koi 1991 Winnebago Street Rhinelander WI Current: 7/1/04 Expires: 6/30/06 County / State: Oneida Steven Ojibway Mental Health-Emergency HFS 34.3 Service Koinonia Residential AODA Treatment Center Mark Strosahl 1991 Winnebago Street Rhinelander, WI (715) Initial ification: 10/1/86 Current: 10/1/01 Expires: 9/30/03 County / State: Oneida CSAS-Residential Intoxication Monitoring CSAS-Medically Monitored Treatment Steven Ojibway HFS HFS Koller Behavioral Health a Division of Howard Young Medical Chris Hartlep 622 Mason Street Rhinelander, WI (715) Initial ification: 8/1/78 Current: 5/1/01 Expires: 4/30/03 County / State: Oneida Steven Ojibway 1687 Northern Family Services, Inc. Marcia Van Brunt 5 W. Frederick Street Rhinelander, WI (715) (715) Initial ification: 4/1/84 Current: 10/1/00 Expires: 9/30/02 County / State: Oneida Steven Ojibway 1734 Petersen Mental Health Clinic Richard Martin 900 Boyce Drive Rhinelander, WI (715) Initial ification: 8/23/93 Current: 9/1/03 County / State: Oneida Expires: 8/31/05 Steven Ojibway

132 Page 132 of ified Provider Address, Contact, Phone St. Mary's Hospital/Ministry Behavioral Health-Psychological Associates Andrea Maulson 203 Schiek Plaza Rhinelander, WI (715) Initial ification: 6/1/85 Current: 6/1/04 Expires: 5/31/06 County / State: Oneida Steven Ojibway 1819 St. Mary's Hospital/ Ministry Behavioral Health-Northern Region Andrea Maulson 1044 Kabel Avenue Rhinelander, WI (715) Eagle River Medical Group 930 E. Wall Street Eagle River WI (715) Initial ification: 1/1/86 Current: 6/1/04 Expires: 5/31/06 County / State: Oneida Steven Ojibway 2292 Impact Counseling Services, LLC Renee Millwood 222 Blackburn Street Rhinelander, WI (715) (715) Initial ification: 2/9/01 Current: 9/1/03 Expires: 8/31/05 County / State: Oneida Steven Ojibway Mental Health-Day Treatment for HFS Children (2)(a) 2515 St. Mary's Hospital Andrea Maulson 2251 N. Shore Drive, #100 Rhinelander, WI (800) Initial ification: 5/1/04 Current: 5/1/04 Expires: 4/30/05 County / State: Oneida Steven Ojibway Mental Health-Adolescent HFS Inpatient Mental Health-Emergency HFS 34.2 Service 2 Mental Health-Inpatient HFS Price-Decker Clinic, LLC Terry Price-Decker 21B S. Brown Street Rhinelander, WI (715) (715) Initial ification: 7/1/04 Current: 7/1/04 Expires: 6/30/05 County / State: Oneida Steven Ojibway 1422 Howard Young Medical Center, Inc. Dawn Gapko 240 Maple Street Woodruff, WI (715) Initial ification: 7/1/85 Current: 5/1/03 Expires: 4/30/05 County / State: Oneida CSAS-Medically Managed Inpatient Detox Steven Ojibway HFS 75.06

133 Page 133 of 203 ified Provider Address, Contact, Phone 2025 Koller Behavioral Health a Division of Howard Young Medical Chris Hartlep 240 Maple Street Woodruff, WI (715) Initial ification: 8/1/78 Current: 5/1/01 Koller Behavioral Health a Division of Howard Young Medi 150 Hospital Road Eagle River WI Koller Behavioral Health a Division of Howard Young Medi 622 Mason Street Rhinelander WI Expires: 4/30/03 County / State: Oneida Steven Ojibway CSAS-Prevention HFS Casa Clare, Inc. Initial ification: 3/21/96 County / State: Outagamie James Webb Current: 4/1/ N. Durkee Street Expires: 3/31/05 Frank Bellaire Appleton, WI (920) CSAS-Transitional Residential HFS Fox Valley Pastoral Counseling Initial ification: 3/1/83 County / State: Outagamie Robert Young Current: 3/1/ W. Valley Road Expires: 2/28/06 Frank Bellaire Appleton, WI (920) Fox Valley Pastoral Counseling Center 110 Church Avenue Oshkosh WI Fox Valley Pastoral Counseling Center 110 E. Hancock Street New London WI 54961

134 Page 134 of ified Provider Address, Contact, Phone Appleton Psychiatric & Counseling Center Bruce Heyl 477 S. Nicolet Road Appleton, WI (920) (920) Appleton Psychiatric & Counseling Center W9499 Givens Road Hortonville WI Appleton Psychiatric & Counseling Center 340 N. Wisconsin Street DePere WI Appleton Psychiatric & Counseling Center Highway 32 Lakewood WI Appleton Psychiatric & Counseling Center 308 W. Main Street Hilbert WI Initial ification: 6/26/90 Current: 7/1/04 Expires: 6/30/06 County / State: Outagamie Frank Bellaire 1525 Lutheran Social Services at Thompson Community Center Beth Belmore 820 W. College Avenue, #1 Appleton, WI (920) Initial ification: 9/20/96 Current: 10/1/02 County / State: Outagamie Expires: 9/30/04 Frank Bellaire 1724 Outagamie County Department of Health & Human Services Mark DeBruin 401 S. Elm Street Appleton, WI (920) Initial ification: 7/1/87 Current: 7/1/03 Expires: 6/30/05 County / State: Outagamie Frank Bellaire Mental Health-Emergency HFS 34.2 Service 2

135 Page 135 of ified Provider Address, Contact, Phone St. Elizabeth Hospital Ric Compton 1506 S. Oneida Street Appleton, WI (920) Initial ification: 2/1/84 Current: 11/1/03 Expires: 10/31/05 County / State: Outagamie Frank Bellaire Mental Health-Day Treatment for HFS Children (2)(c) Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Day Treatment HFS Mooring Programs, Inc. James Webb 607 W. Seventh Street Appleton, WI (920) Initial ification: 5/8/91 Current: 7/1/04 Expires: 6/30/06 County / State: Outagamie Frank Bellaire CSAS-Emergency Outpatient HFS CSAS-Transitional Residential HFS Wellness Counseling Center Bedford Hines 103 W. College Avenue, #815 Appleton, WI (920) Initial ification: 12/1/81 Current: 11/1/03 County / State: Outagamie Expires: 10/31/05 Frank Bellaire

136 Page 136 of 203 ified Provider Address, Contact, Phone 1997 WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling Kathleen Jasman 1011 N. Lynndale Drive, #2D Appleton, WI (920) Initial ification: 5/1/90 Current: 2/5/03 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 757 S. Main Street Fond du Lac WI WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 743 S. Monroe Street Green Bay WI WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 916 Pine Street Manitowoc WI WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 634 Wisconsin St. Oshkosh WI WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 108 W. Maple Street Sturgeon Bay WI Expires: 8/31/04 County / State: Outagamie Frank Bellaire 2059 Thedacare Behavioral Health Unity Program John Kemp 720 W. Lindbergh Street Appleton, WI (920) Initial ification: 9/10/98 Current: 10/1/02 County / State: Outagamie Expires: 9/30/04 Frank Bellaire CSAS-Day Treatment HFS Counseling Specialists, LLP Beth Young-Verkuilen 424A E. Longview Drive Appleton, WI (920) Initial ification: 10/5/98 Current: 11/1/02 County / State: Outagamie Expires: 10/31/04 Frank Bellaire 2263 Fox Valley Psychiatric Associates Herbert Allen 1531 S. Madison Street, #550 Appleton, WI (920) (920) Initial ification: 9/26/00 Current: 10/1/02 County / State: Outagamie Expires: 9/30/04 Frank Bellaire

137 Page 137 of 203 ified Provider Address, Contact, Phone 2299 M. Irish Consultants, Inc. Initial ification: 3/6/01 County / State: Outagamie Michelle Irish Current: 4/1/03 W6180 Aerotech Drive Expires: 3/31/05 Frank Bellaire Appleton, WI (920) (920) Outagamie County Department of Health and Human Services CSP Initial ification: 7/1/87 County / State: Outagamie Mark DeBruin Current: 7/1/ S. Elm Street Expires: 6/30/05 Frank Bellaire Appleton, WI (920) Mental Health-Community Support Program HFS Options Treatment Program, Inc. Michelle L. Irish 17 Park Place, #400 Appleton, WI (920) (920) Initial ification: 12/20/02 Current: 1/1/04 County / State: Outagamie Expires: 12/31/05 Frank Bellaire CSAS-Day Treatment HFS Sherman Consulting, LLC Initial ification: 6/5/03 County / State: Outagamie Henry Sherman Current: 6/1/ Waterford Lane, Suite D Expires: 5/31/05 Frank Bellaire Appleton, WI (920) Center for Family Healing Initial ification: 2/1/90 County / State: Outagamie Lynda Savage Current: 2/1/ Kenwood Center Expires: 1/31/06 Frank Bellaire Menasha, WI (920)

138 Page 138 of ified Provider Address, Contact, Phone Thedacare Behavioral Health John Kemp 1095 Midway Road Menasha, WI (920) Thedacare Behavioral Health 401 S. Elm St Appleton WI Thedacare Behavioral Health 2809 N. Park Drive Lane Appleton WI Thedacare Behavioral Health 2005 Midway Road Menasha WI Thedacare Behavioral Health 2701 E. Enterprise Avenue Appleton WI (920) Initial ification: 7/31/98 Current: 7/1/04 Expires: 6/30/06 County / State: Outagamie Frank Bellaire CSAS-Prevention HFS CSAS-Day Treatment HFS Northshore Clinic & Consultants, Inc. Initial ification: 10/1/87 County / State: Ozaukee JoEllyn Schultz Current: 8/1/03 Cedarburg Square W62 N248 Washington Ave., Expires: 7/31/05 #207 Cedarburg, WI (262) Mark Isaacs 1056 Aro Counseling Centers, Inc. Patty Pendowski 1930 Wisconsin Avenue Grafton, WI (262) Initial ification: 8/1/96 Current: 8/1/02 Expires: 7/31/04 County / State: Ozaukee Mark Isaacs CSAS-Day Treatment HFS Behavioral Consulting Services Jean Kaske 1533 Wisconsin Avenue Grafton, WI (262) Initial ification: 8/25/97 Current: 9/1/03 County / State: Ozaukee Expires: 8/31/05 Mark Isaacs

139 Page 139 of ified Provider Address, Contact, Phone Achievement Associates, Ltd. Neena Florsheim 1317 W. Towne Square Road Mequon, WI (262) Achievement Associates, Ltd N. Oakland Avenue Shorewood WI Achievement Associates, Ltd W. Cleveland Ave., #2000 Milwaukee WI Achievement Associates, Ltd N Jackson Street Milwaukee WI Initial ification: 5/1/88 Current: 6/1/03 Expires: 5/31/05 County / State: Ozaukee Mark Isaacs 1290 East Town Professional Associates, S.C. Christina Keppel 1017 W. Glen Oaks Lane, #201 Mequon, WI (262) East Town Professional Associates, S.C N. Mayfair Road, #305 Wauwatosa WI Initial ification: 4/1/84 Current: 10/1/02 Expires: 9/30/04 County / State: Ozaukee Mark Isaacs 1682 North Shore Center, L.L.C. Raymond A Gallope N. Pt. Washington Rd., #203 Mequon, WI (262) (262) Initial ification: 6/19/89 Current: 7/1/04 County / State: Ozaukee Expires: 6/30/06 Mark Isaacs 1873 St. Mary's Hospital Ozaukee DBA Columbia St. Mary's Behav Med - Ozaukee Tim Shininger N. Port Washington Road Mequon, WI (262) (262) Initial ification: 9/1/84 Current: 3/1/04 Expires: 2/28/06 County / State: Ozaukee Mark Isaacs Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Day Treatment HFS 75.12

140 Page 140 of 203 ified Provider Address, Contact, Phone 2368 American Behavioral Clinics Initial ification: 5/1/02 County / State: Ozaukee Deana Ohman Current: 2/1/ W. Ranchito Lane Expires: 1/31/06 Mark Isaacs Mequon, WI (262) (262) Lutheran Social Services - Ozaukee Bernestine Jeffers North Cedarburg Road Mequon, WI (262) Initial ification: 12/1/02 Current: 12/1/02 County / State: Ozaukee Expires: 11/30/04 Mark Isaacs 2435 Integrated Development Services, Inc. Andrew Paulson, Ph.D W. Glen Oaks Lane, #207 Mequon, WI (262) Initial ification: 4/10/03 Current: 4/10/03 County / State: Ozaukee Expires: 4/30/04 Mark Isaacs 2463 Temenos - Mequon Initial ification: 3/1/03 County / State: Ozaukee Barbara Ferket Current: 3/1/ Port Washington Road Expires: 2/28/06 Mark Isaacs Mequon, WI (262) (920) St. Mary's Hospital Ozaukee DBA Columbia St Mary's Behavioral Med - Mequon Initial ification: 9/2/03 County / State: Ozaukee Tim Shininger Current: 3/1/ W. Market Street, #200 Expires: 2/28/06 Mark Isaacs Mequon, WI (414) (414) John Gilane Counseling Services Initial ification: 6/1/04 County / State: Ozaukee John Gilane Current: 6/1/ N. Pt. Washington Rd., #LL-B Expires: 5/31/05 Mark Isaacs Mequon, WI (262) (262) Crossroads Clinic & Family Center James Lipusch 201 N. Milwaukee Street Port Washington, WI (262) Initial ification: 7/26/93 Current: 8/1/02 County / State: Ozaukee Expires: 7/31/04 Mark Isaacs

141 Page 141 of ified Provider Address, Contact, Phone Department of Community Programs- Ozaukee County T. Allen Pearson 121 W. Main Street Port Washington, WI (262) Initial ification: 6/1/77 Current: 10/1/02 Expires: 9/30/04 County / State: Ozaukee Mark Isaacs Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS St. Mary's Hospital Ozaukee DBA Columbia St. Mary's Behav Med Pt Washington Brenda Stallbaum 1317 W. Grand Avenue Port Washington, WI (262) Initial ification: 3/1/94 Current: 3/1/04 Expires: 2/28/06 County / State: Ozaukee Mark Isaacs 2274 Department of Community Programs- Ozaukee County CSP Michael Lappen 121 W. Main Street Port Washington, WI (262) Initial ification: 6/1/77 Current: 4/1/03 Expires: 3/31/05 County / State: Ozaukee Mental Health-Community Support Program Mark Isaacs HFS Aro Counseling Centers, Inc. Patty Pendowski 116 West Grand Avenue Port Washington, WI (262) (262) Initial ification: 8/1/02 Current: 8/1/02 Expires: 7/31/04 County / State: Ozaukee Mark Isaacs 1732 Pepin County Department of Human Services Phillip Wicktor 740-7th Avenue W Durand, WI (715) (715) Initial ification: 4/1/82 Current: 6/1/04 Expires: 5/31/06 County / State: Pepin K. L. Polly Wong

142 Page 142 of ified Provider Address, Contact, Phone Pierce County Department of Human Services Linda Johnson 412 W. Kinne Street Ellsworth, WI (715) Initial ification: 12/1/81 Current: 4/1/03 Expires: 3/31/05 County / State: Pierce Roderic Senn Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Northwest Counseling and Guidance Clinic Ellsworth Day Treatment Jill Chaffee 254 S Chestnut Street Ellsworth, WI (715) Initial ification: 9/24/01 Current: 10/1/03 Expires: 9/30/05 County / State: Pierce Mental Health-Day Treatment for Children 1 Roderic Senn HFS 40.11(2)(a) 1468 Kinnic Falls Alcohol and Drug Abuse Services, Inc. John Gerber 900 S. Orange Street River Falls, WI (715) Initial ification: 5/1/90 Current: 5/1/04 Expires: 4/30/05 County / State: Pierce Roderic Senn CSAS-Transitional Residential HFS River Valley Psychological Services Karen LaBounty 215 N. Second Street, #101 River Falls, WI (715) Initial ification: 1/1/93 Current: 2/1/03 Expires: 1/31/05 County / State: Pierce Roderic Senn 2505 Kinnic Falls Alcohol and Drug Abuse Services, Inc. John Gerber 902 S. Orange Street River Falls, WI (715) Initial ification: 2/9/04 Current: 2/9/04 Expires: 4/30/05 County / State: Pierce Roderic Senn 2195 Northwest Counseling and Guidance Clinic - Amery Lake Day Treatment Program Jill Chaffee 1096 Apple Avenue Amery, WI (715) Initial ification: 2/14/00 Current: 2/1/03 Expires: 1/31/05 County / State: Polk Mental Health-Day Treatment for Children 1 Roderic Senn HFS 40.11(2)(a)

143 Page 143 of ified Provider Address, Contact, Phone Polk County Mental and Behavioral Health Services David Huebsch Polk County Human Services Dept. 100 Polk County Plaza, #50 Balsam Lake, WI (715) (715) Initial ification: 2/8/00 Current: 5/1/04 Expires: 1/31/06 County / State: Polk K. L. Polly Wong Mental Health-Emergency HFS 34.2 Service Polk County Human Services Department CSP David Huebsch 100 Polk County Plaza, #50 Balsam Lake, WI (715) (715) Initial ification: 1/26/00 Current: 11/1/03 Expires: 4/30/05 County / State: Polk Mental Health-Community Support Program K. L. Polly Wong HFS Northwest Counseling and Guidance Clinic Frederic Day Treatment Jill Chaffee 107 Oak Street East Frederic, WI (715) Initial ification: 2/12/01 Current: 9/1/03 Expires: 8/31/05 County / State: Polk Mental Health-Day Treatment for Children 1 Roderic Senn HFS 40.11(2)(a) 2493 Families First Counseling Center, LLC Catherine Hayman th Street Frederic, WI (715) (715) Families First Counseling Center, LLC 207 E. Madison Street Grantsburg WI Initial ification: 1/8/04 Current: 1/8/04 Expires: 1/31/05 County / State: Polk Roderic Senn 1252 Counseling Associates, Inc. Cindy Klein 809 US Hwy 8 St. Croix Falls, WI (715) Initial ification: 7/14/94 Current: 8/1/03 County / State: Polk Expires: 7/31/05 K. L. Polly Wong

144 Page 144 of ified Provider Address, Contact, Phone Family Crisis Center - CAP Services Mary Rowan 1616 W. River Drive Stevens Point, WI (715) Initial ification: 2/1/88 Current: 2/1/03 Expires: 1/31/05 County / State: Portage Steven Ojibway Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Children's Service Society of Wisconsin Lisa Dobberke 1201 Water Street, #C Stevens Point, WI (715) (715) Initial ification: 7/1/96 Current: 7/1/03 Expires: 6/30/05 County / State: Portage Steven Ojibway 1216 Ministry Behavioral Health Joanne Griffin 201 Prentice Street North Stevens Point, WI (715) Initial ification: 10/1/90 Current: 7/1/03 County / State: Portage Expires: 6/30/05 Steven Ojibway CSAS-Residential Intoxication HFS Monitoring CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Family Counseling Clinic of Stevens Point Clara Ann Cleve 1052 Main Street, #203 Stevens Point, WI (715) Mid-Wisconsin Psychotherapy Associates Richard Hurlbut 100 Bremmer Street Stevens Point, WI (715) (715) New Directions Counseling Center, LLC Nancy Sexton 5541 Hwy 10 East, #B Stevens Point, WI (715) Initial ification: 5/15/90 Current: 5/1/03 County / State: Portage Expires: 4/30/05 Steven Ojibway Initial ification: 5/20/98 Current: 6/1/02 County / State: Portage Expires: 5/31/04 Steven Ojibway Initial ification: 9/16/96 County / State: Portage Current: 9/1/03 Expires: 8/31/05 Steven Ojibway

145 Page 145 of ified Provider Address, Contact, Phone Portage County Health & Human Services Judy Bablitch 817 Whiting Avenue Stevens Point, WI (715) Initial ification: 6/1/76 Portage County Health & Human Services, Lincoln Center 1519 Water Street Stevens Point WI Current: 4/1/03 Expires: 3/31/05 County / State: Portage Steven Ojibway Mental Health-Emergency HFS 34.3 Service Recovery Counseling Services Cathryn Laszinski 1052 Main Street, Suite 206 Stevens Point, WI (715) (715) Initial ification: 9/21/93 Current: 10/1/03 County / State: Portage Expires: 9/30/05 Steven Ojibway 1796 Rice Medical Center-Department of Psychiatry Anna Cothron 3398 E. Maria Drive Stevens Point, WI (715) Initial ification: 12/1/83 Current: 1/1/03 County / State: Portage Expires: 12/31/05 Steven Ojibway 1820 Saint Michael's Hospital Laurie Roberts 900 Illinois Avenue Stevens Point, WI (715) (715) Initial ification: 5/1/78 Current: 10/1/03 Expires: 9/30/05 County / State: Portage Steven Ojibway Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS Catholic Charities of the Diocese of LaCrosse Jeff Court 1317 College Court, #1 Stevens Point, WI (715) Initial ification: 1/1/00 Current: 12/1/02 Expires: 11/30/04 County / State: Portage Steven Ojibway 2230 Riverwood Counseling Center, LLC Cindy Chelcun 1052 Main Street, #202 Stevens Point, WI (715) (715) Initial ification: 7/17/00 Current: 7/1/03 County / State: Portage Expires: 6/30/05 Steven Ojibway

146 Page 146 of 203 ified Provider Address, Contact, Phone 2364 Professional Services Group Initial ification: 1/1/02 County / State: Portage Brian Wolf Current: 1/1/ N. Main Street Expires: 12/31/04 Steven Ojibway Stevens Point, WI (715) (715) Northwest Counseling and Guidance Stevens Point Day Treatment Program Ann Langrehr 525-4th Avenue Stevens Point, WI (715) Initial ification: 10/14/02 Current: 10/1/03 Expires: 9/30/05 County / State: Portage Mental Health-Day Treatment for Children 3 Steven Ojibway HFS 40.11(2)(c) 2162 Catholic Charities of the Diocese of LaCrosse Jeffrey Court 401-5th Street, #443 Wausau, WI (715) Initial ification: 12/6/99 Current: 1/30/04 County / State: Portage Expires: 12/31/04 Steven Ojibway 1513 Lutheran Counseling and Family Services of Wisconsin Chuck Meseck 354 S. First Street Park Falls, WI (888) Lutheran Counseling and Family Services of Wisconsin 103 Trinity Drive Phillips WI Initial ification: 11/5/97 Current: 11/1/03 Expires: 10/31/05 County / State: Price Steven Ojibway Lutheran Counseling and Family Services of Wisconsin th Avenue, PO Box 100 Ashland WI Community Support Center of Price County Initial ification: 4/1/98 County / State: Price Pam Olson Current: 1/1/ N. Lake Avenue Expires: 12/31/04 Steven Ojibway Phillips, WI (715) (715) Mental Health-Community Support Program HFS 63

147 Page 147 of 203 ified Provider Address, Contact, Phone 1244 Counseling and Development Center, Inc. Initial ification: 8/1/82 County / State: Price Greg Engfer Current: 8/1/ Chestnut Street Expires: 7/31/05 Steven Ojibway Phillips, WI (715) Counseling and Development Center 214-4th Avenue N Park Falls WI Price County Sheriff's Department 164 Cherry Avenue Phillips WI Counseling and Development Center, Inc. Community Support Program Initial ification: 8/1/98 County / State: Price Gregg Engfer Current: 8/1/ Chestnut Street Expires: 7/31/04 Steven Ojibway Phillips, WI (715) (715) Mental Health-Community Support Program HFS Agape Recovery Center Initial ification: 4/1/94 County / State: Racine Patricia Olsen Current: 4/1/ McHenry Street, #1 Expires: 3/31/05 Mark Isaacs Burlington, WI (262) (262) All Saints Medical Center, Inc. Counseling Center - Burlington Initial ification: 4/1/90 County / State: Racine Kathleen Belland Current: 4/1/ E. State Street Expires: 3/31/06 Mark Isaacs Burlington, WI (262) (262) St. Marys Medical Group - Union Grove 1120 Main Street Union Grove WI Aurora Medical Group Behavioral Health Services Don Crowder 190 Gardner Avenue, #3 Burlington, WI (262) Doctors Clinic of Elkhorn 205 E. Commerce Court Elkhorn WI Initial ification: 10/1/83 Current: 2/1/03 County / State: Racine Expires: 1/31/05 Mark Isaacs

148 Page 148 of ified Provider Address, Contact, Phone Clinical Psychology Associates David Thompson 345 Milwaukee Avenue Burlington, WI (262) Initial ification: 3/1/93 Current: 4/1/04 Expires: 3/31/06 County / State: Racine Mark Isaacs 1746 Professional Psychological Services, S.C. Dean Stolldorf 201 Crest Street Burlington, WI (262) (262) Initial ification: 3/1/91 Current: 3/1/03 Expires: 2/28/05 County / State: Racine Mark Isaacs 1761 Psychological and Counseling Services Jeffrey Adamczak 6929 Mariner Drive, #D Mount Pleasant, WI (262) Psychological and Counseling Services 147 W. Ryan Road Oak Creek WI Psychological and Counseling Services 6530 Sheridan Road, #5 Kenosha WI Initial ification: 8/15/92 Current: 9/1/03 County / State: Racine Expires: 8/31/05 Mark Isaacs 1027 All Saints Medical Center, Inc. Paul Mason 1320 Wisconsin Avenue Racine, WI (414) (414) Initial ification: 7/1/90 Current: 7/1/04 Expires: 6/30/06 County / State: Racine Mark Isaacs Mental Health-Day Treatment for HFS Children (2)(c) Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment

149 Page 149 of 203 ified Provider Address, Contact, Phone 1135 Catholic Charities of The Archdiocese of Milwaukee, Inc. John Nesseth th Street Racine, WI (262) Initial ification: 6/1/81 Catholic Charities of The Archdiocese of Milwaukee, Inc. 209 N. Main Street Burlington WI Catholic Charities of The Archdiocese of Milwaukee, Inc th Avenue Kenosha WI Current: 7/1/04 Expires: 6/30/06 County / State: Racine Mark Isaacs 1180 Children's Service Society of Wisconsin Kathleen Golden 1220 Mound Avenue, #301 Racine, WI (262) Love Incorporated 480 S. Pine Burlington WI Initial ification: 10/1/84 Current: 10/1/03 County / State: Racine Expires: 9/30/05 Mark Isaacs 1339 Family Service of Racine, Inc. Terri Kading-Wheeler 420 Seventh Street Racine, WI (262) (262) Initial ification: 11/1/83 Current: 1/1/03 County / State: Racine Expires: 12/31/04 Mark Isaacs 1378 Genesis Behavioral Services Racine Outpatient Clinic Initial ification: 3/1/89 County / State: Racine John Monacelli Current: 3/1/ Washington Avenue Expires: 2/28/06 Mark Isaacs Racine, WI (414) CSAS-Day Treatment HFS Genesis Behavioral Services 209 N. Main Street, #105 Burlington WI Genesis Behavioral Services Crossroads Initial ification: 9/1/94 County / State: Racine John Monacelli Current: 9/1/ Spring Place Expires: 8/31/06 Mark Isaacs Racine, WI (262) CSAS-Transitional Residential HFS 75.14

150 Page 150 of 203 ified Provider Address, Contact, Phone 1461 Genesis Behavioral Services - Durand House Initial ification: 7/1/92 County / State: Racine John Monacelli Current: 7/1/ Durand Avenue Expires: 6/30/06 Mark Isaacs Racine, WI (262) CSAS-Transitional Residential HFS Genesis Behavioral Services St. Claire House Initial ification: 7/1/92 County / State: Racine John Monacelli Current: 10/1/ St. Clair Avenue Expires: 9/30/04 Mark Isaacs Racine, WI (262) CSAS-Transitional Residential HFS Lakeside Family Therapy Initial ification: 4/1/82 County / State: Racine Jack Plate Current: 9/1/ Northwestern Avenue Expires: 8/31/05 Mark Isaacs Racine, WI (262) Lutheran Social Services-Racine Initial ification: 4/1/89 County / State: Racine Leslie Luther Current: 7/1/ th Street Expires: 6/30/04 Mark Isaacs Racine, WI (262) Aurora Behavioral Health Center - Racine Initial ification: 1/1/95 County / State: Racine Katherine Connelly Current: 1/1/ Durand Avenue, #400 Expires: 12/31/05 Mark Isaacs Racine, WI (262) Psychiatric Services Initial ification: 5/1/88 County / State: Racine Lori Johnson Current: 11/1/ Wisconsin Avenue, #303 Expires: 10/31/05 Mark Isaacs Racine, WI (262) (262) Therapy Associates - The Johnson- Tungseth Clinic, LLC Sharon Johnson 1139 Sunnyslope Drive, #100 Racine, WI (262) (262) Initial ification: 10/1/96 Current: 10/1/03 County / State: Racine Expires: 9/30/05 Mark Isaacs

151 Page 151 of 203 ified Provider Address, Contact, Phone 2065 Family and Child Therapy Center, S.C. Caroline Bergs 5735 Durand Avenue Racine, WI (262) Initial ification: 5/25/98 Current: 6/1/03 County / State: Racine Expires: 5/31/05 Mark Isaacs 2112 Transitional Living Services, Inc. CSP Initial ification: 1/1/99 County / State: Racine Kenya Bright Current: 7/1/ Main Street Expires: 6/30/05 Mark Isaacs Racine, WI (262) (262) Mental Health-Community Support Program HFS Transitional Living Services, Inc. Initial ification: 4/1/00 County / State: Racine Liza Spofford Current: 4/1/ S. Main Street Expires: 3/31/05 Mark Isaacs Racine, WI (262) Racine Psychological Services, Inc. Mary Jane Whitmore 840 Lake Avenue, #101 Racine, WI (262) Racine Psychological Services, Inc. 209 N. Main Street Burlington WI Initial ification: 3/31/00 Current: 4/1/03 County / State: Racine Expires: 3/31/05 Mark Isaacs 2310 All Saints Medical Center - Center for Addiction Recovery Dennis Reichelt 9301 Washington Avenue Racine, WI (262) Initial ification: 7/11/01 Current: 8/1/04 County / State: Racine Expires: 7/31/06 Mark Isaacs CSAS-Day Treatment HFS Quality Addiction Management - Taylor Crossings Office Charles Engel 6233 Bankers Road, #10 Racine, WI (262) Initial ification: 11/12/01 Current: 7/1/04 County / State: Racine Expires: 8/31/06 Mark Isaacs CSAS-Narcotic Treatment HFS 75.15

152 Page 152 of ified Provider Address, Contact, Phone Lauren Murphy Payne & Associates Lauren Murphy Payne 5605 Washington Avenue, #6 Racine, WI (262) (262) Initial ification: 3/1/02 Current: 3/1/03 Expires: 2/28/05 County / State: Racine Mark Isaacs 2469 Amy Sprague Champeau, MS, LMFT, SC Amy Sprague Champeau th Street Racine, WI (262) (262) Initial ification: 9/1/03 Current: 9/1/03 Expires: 8/31/04 County / State: Racine Mark Isaacs 2476 Therapy House, LLC Andrew Patch 700 Villa Street Racine, WI (262) Initial ification: 10/3/03 Current: 10/3/03 County / State: Racine Expires: 9/30/04 Mark Isaacs 2490 Racine County Human Services Department Debra Capener 1717 Taylor Avenue Racine, WI (262) (262) Initial ification: 1/1/04 Current: 1/1/04 Expires: 12/31/04 County / State: Racine Mental Health-Emergency Service 3 Mark Isaacs HFS ACS Clinical Services Linda Ketcham Initial ification: 10/21/03 Current: 10/21/03 County / State: Racine 524 Main Street, Suite 208 Expires: 10/31/04 Mark Isaacs Racine, WI (262) (608) ACS Clinical Services 2266 N. Prospect, Suite 204 & P.O. Box Milwaukee WI ACS Clinical Services th Street Lower P.O. Box 147 Kenosha WI ACS Clinical Services 137 Wisconsin Avenue P.O. Box 846 Waukesha WI Clinical Psychology Associates of Waterford David Thompson 207B N. Milwaukee Street Waterford, WI (262) Initial ification: 6/2/98 Current: 6/1/03 Expires: 5/31/05 County / State: Racine Mark Isaacs

153 Page 153 of ified Provider Address, Contact, Phone Huebner & Associates White Pine Center Beth Huebner U.S. Highway 14, West Richland Center, WI (608) (608) Initial ification: 7/1/97 Current: 5/1/04 Expires: 1/31/06 County / State: Richland 1797 Richland County Health & Human Services Tracy Thorsen 1000 Highway 14 West Richland Center, WI (608) (608) Initial ification: 1/1/88 Current: 2/1/04 Expires: 1/31/06 County / State: Richland Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Richland County Health & Human Services Community Support Program Heather Leach 1000 Highway 14 West Richland Center, WI (608) (608) Initial ification: 1/1/88 Current: 2/1/04 Expires: 1/31/06 County / State: Richland Mental Health-Community Support Program HFS Beloit Inner City Council, Inc./Division of Tellurian UCAN Emma Harrell 403 Prospect Avenue Beloit, WI (608) (608) Initial ification: 5/1/91 Current: 5/1/03 Expires: 4/30/05 County / State: Rock CSAS-Prevention HFS Beloit Memorial Hospital-Counseling Care Center Greg Ammon 1969 W. Hart Road Beloit, WI (608) Beloit Memorial Hospital - Counseling Care Center 5512 Elevator Road Roscoe IL Janesville Occupational Health 1409B Crestan Park Drive Janesville WI Initial ification: 7/1/85 Current: 12/1/03 Expires: 11/30/05 County / State: Rock

154 Page 154 of 203 ified Provider Address, Contact, Phone 1331 Family Service of Southern Wisconsin and Northern Illinois, Inc. Initial ification: 6/1/81 County / State: Rock John Pfleiderer Current: 7/1/ Bluff Street Expires: 5/31/06 Beloit, WI (608) (608) Mercy Options Outpatient Services Initial ification: 1/1/96 County / State: Rock Greg Winkler Current: 1/1/ Prairie Avenue Expires: 12/31/05 Beloit, WI (608) (608) CSAS-Day Treatment HFS Rock County Human Services Department - Beloit Community Support Program Initial ification: 9/1/89 County / State: Rock Charmian Klyve Current: 5/1/ Broad Street Expires: 4/30/05 Beloit, WI (608) Mental Health-Community Support Program HFS Rock County Human Services Department Beloit Counseling Center Jody Farmer 822 Broad Street Beloit, WI (608) Initial ification: 10/1/75 Current: 9/1/03 County / State: Rock Expires: 8/31/ Beloit Area Community Health Center Initial ification: 2/1/00 County / State: Rock Julie Lazzeroni Current: 2/1/04 74 Beloit Mall Expires: 1/31/05 Beloit, WI (608) (608) CSAS-Day Treatment HFS Alcohab, Inc. New Dawn Residential Treatment Betty Wagner 430 N. Jackson Street Janesville, WI (608) Initial ification: 9/16/94 Current: 10/1/02 County / State: Rock Expires: 9/30/04 CSAS-Transitional Residential HFS 75.14

155 Page 155 of ified Provider Address, Contact, Phone Applied Mental Health Consultants, LLC Robert Gordon 29 W. Milwaukee Street, #201 Janesville, WI (608) Applied Mental Health Consultants, LLC 6085 Strathmoor Drive Rockford IL Initial ification: 3/1/83 Current: 3/1/03 Expires: 2/28/05 County / State: Rock 1075 Associates in Psychotherapy Elizabeth Magnus 1519 Primrose Lane Janesville, WI (608) Associates In Psychotherapy 636 Park Street Beloit WI (608) Initial ification: 8/1/80 Current: 7/1/04 Expires: 5/31/06 County / State: Rock 1112 Bridgeway Psychological Associates, Ltd. Julie Jacobs 519 Midland Court, Suite 102 Janesville, WI (608) (608) Initial ification: 7/1/82 Current: 7/1/04 Expires: 6/30/06 County / State: Rock 1136 Catholic Charities of the Diocese of Madison, Inc. - Janesville Bonnie Loughran 2020 E. Milwaukee Street Janesville, WI (608) (608) Initial ification: 5/1/88 Current: 5/1/04 Catholic Charities of the Diocese of Madison, Inc. - Janesv 3311 Prairie Avenue Beloit WI Expires: 4/30/06 County / State: Rock 1265 Crossroads Counseling Center Tim Perry 17 S. River Street, #254 Janesville, WI (608) (608) Initial ification: 9/1/77 Current: 1/1/03 Expires: 9/30/04 County / State: Rock Mental Health-Day Treatment for HFS Children (2)(a)

156 Page 156 of ified Provider Address, Contact, Phone Genesis Counseling Services, Ltd. Pam Stevens One S. Main Street Janesville, WI (608) Monroe Professional Center 227 Fourth Street Monroe WI (608) Initial ification: 7/1/88 Current: 7/1/03 Expires: 6/30/05 County / State: Rock 1448 Janesville Psychiatric Clinic Bill Hollingsworth 20 E. Milwaukee Street, #210 Janesville, WI (608) (608) Initial ification: 10/1/81 Current: 12/1/02 Expires: 11/30/04 County / State: Rock Mental Health-Day Treatment for HFS Children (2)(a) 1532 LSS Counseling Clinic - Janesville Meg Groves 612 N. Randall Street Janesville, WI (608) (608) LSS Counseling Clinic - Beloit 737 Bluff Street Beloit WI Initial ification: 7/1/97 Current: 7/1/04 Expires: 6/30/05 County / State: Rock

157 Page 157 of ified Provider Address, Contact, Phone Mercy Options - Outpatient Services Lisa Usgaard 113 S. Franklin Street Janesville, WI (608) Mercy Health Mall 1010 N. Washington Janesville WI (608) Mercy Options - Outpatient Services 507 W. Main Street Whitewater WI Mercy Options - Outpatient Services 1000 Mineral Point Road Janesville WI Mercy Options - Outpatient Services 300 Union Street Evansville WI Mercy Options - Outpatient Services 3524 E. Milwaukee Street Janesville WI Initial ification: 1/1/93 Current: 1/1/04 Expires: 12/31/05 County / State: Rock CSAS-Day Treatment HFS Mercy Options - Mercy Health Systems Greg Winkler 1000 Mineral Point Road Janesville, WI (608) (608) Initial ification: 10/1/84 Current: 7/1/03 County / State: Rock Expires: 6/30/05 Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Treatment CSAS-Day Treatment HFS Rock County Human Services Crisis Intervention Unit Jody Farmer 3530 N. County Highway F Janesville, WI (608) Initial ification: 10/1/75 Current: 9/1/02 County / State: Rock Expires: 8/31/04 Mental Health-Emergency HFS 34.3 Service 3 CSAS-Emergency Outpatient HFS Rock County Human Services Department Janesville Community Support Program Charmian Klyve 35 S. Main Street Janesville, WI (608) Initial ification: 9/1/89 Current: 5/1/03 Expires: 4/30/05 County / State: Rock Mental Health-Community Support Program HFS 63

158 Page 158 of 203 ified Provider Address, Contact, Phone 1806 Rock County Human Services Department Adolescent Services Center Jody Farmer 3506 North US Hwy 51 Janesville, WI (608) Initial ification: 10/1/75 Current: 9/1/03 County / State: Rock Expires: 8/31/ Rock County Human Services Department Janesville Counseling Center Jody Farmer 3506 N. US Highway 51 Janesville, WI (608) Initial ification: 10/1/75 Current: 9/1/03 County / State: Rock Expires: 8/31/ Rock Valley Community Programs, Inc. Treatment Alternative Program Initial ification: 3/1/90 County / State: Rock Nancy Gilligan-O'Brien Current: 3/1/ W. Sunny Lane Rd. Expires: 2/28/06 Janesville, WI (608) (608) CSAS-Day Treatment HFS Regional Employee Assistance Services, Inc. Initial ification: 7/1/99 County / State: Rock Gordon Lynch Current: 7/1/ Mineral Point Avenue Expires: 6/30/04 Janesville, WI (608) Rock County Detox Operated by Tellurian UCAN Melody Music Twilla 3530 N CTH F Janesville, WI (608) (608) Initial ification: 8/12/02 Current: 3/1/03 Expires: 7/31/04 County / State: Rock CSAS-Medically Monitored Residential Detox HFS Alcohab, Inc. The River Commons Initial ification: 5/1/03 County / State: Rock Betty Wagner Current: 7/1/ S. Main Street Expires: 4/30/05 Janesville, WI (608) (608) CSAS-Transitional Residential HFS Family Tree Mental Health Clinic Initial ification: 3/1/98 County / State: Rock Lois Hadley Current: 3/1/ Campus Street, #6 Expires: 2/28/05 Milton, WI (608)

159 Page 159 of 203 ified Provider Address, Contact, Phone 1221 Community Counseling Center Initial ification: 7/1/89 County / State: Rusk Thomas Ricci Current: 7/1/ Lake Avenue W Expires: 6/30/05 K. L. Polly Wong Ladysmith, WI (715) Marshfield Clinic Ladysmith Center Initial ification: 7/1/99 County / State: Rusk Kathleen Ertz Current: 7/1/ College Avenue, West Expires: 6/30/06 K. L. Polly Wong Ladysmith, WI (715) Marshfield Clinic Cornell Center 21 Main Street Cornell WI Marriage and Family Health Services, Ltd. Initial ification: 5/1/99 County / State: Rusk Thomas Johnston Current: 5/1/ E. Worden Avenue Expires: 4/30/06 K. L. Polly Wong Ladysmith, WI (715) Mental Health-Day Treatment for Children 1 HFS 40.11(2)(a) 2157 Community Support Center of Rusk County Pamela Olson 219 W. 2nd Street, N. Ladysmith, WI (715) Initial ification: 10/27/99 Current: 10/1/02 Expires: 9/30/04 County / State: Rusk Mental Health-Community Support Program K. L. Polly Wong HFS 63 St. Clare Hospital & Health Services th Street Baraboo, WI (608) (608) Initial ification: Current: Expires: County / State: Sauk CSAS-Medically Managed HFS Inpatient Detox Clairion Center - St. Clare Hospital & Health Services Fourteenth Street Baraboo, WI Initial ification: Current: Expires: County / State: Sauk

160 Page 160 of ified Provider Address, Contact, Phone Ho-Chunk Nation Alcohol/Drug Program Services Terry Little Wolf House of Wellness S2845 White Eagle Road Baraboo, WI (608) Initial ification: 5/1/92 Current: 11/1/03 Expires: 10/31/04 County / State: Sauk K. L. Polly Wong 1436 Innervisions Counseling and Consulting Center, SC Colleen James 708 Elizabeth Street Baraboo, WI (608) (608) Innervisions Counseling and Consulting Center, SC 1334 Dewey Court Madison WI Initial ification: 12/29/94 Current: 4/1/04 Expires: 12/31/04 County / State: Sauk 1823 Sauk County Human Services Department Community Support Program Scott Eithun 505 Broadway, 4th Floor Baraboo, WI (608) Initial ification: 7/1/90 Current: 7/1/04 Expires: 8/31/04 County / State: Sauk Mental Health-Community Support Program HFS Sauk County Human Services Ken Cady 505 Broadway Street Baraboo, WI (608) (608) Sauk County Human Services 425 Sixth Street Reedsburg WI Initial ification: 1/1/88 Current: 1/1/04 Expires: 12/31/05 County / State: Sauk Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS Pathway Clinic, SC Bonnie Merlet th Street Baraboo, WI (608) (608) Initial ification: 4/1/98 Current: 4/1/04 Expires: 3/31/06 County / State: Sauk 2075 The Clarion Day Treatment Program St. Clare Hospital Health Services Cori Marsh 1700 Tuttle Street Baraboo, WI (608) Initial ification: 10/1/98 Current: 10/1/03 County / State: Sauk Expires: 9/30/04 Mental Health-Day Treatment HFS 61.75

161 Page 161 of ified Provider Address, Contact, Phone St. Clare Center, St. Clare Hospital Karen Alvin 707 Fourteenth Street Baraboo, WI (608) (608) Initial ification: 11/25/98 Current: 5/1/04 Expires: 1/31/05 County / State: Sauk Mental Health-Inpatient HFS CSAS-Emergency Outpatient HFS CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS Baraboo Psychological Services Kathrine Halley 227-5th Avenue Baraboo, WI (608) Baraboo Psychological Services 6320 Monona Drive Monona WI Initial ification: 9/1/99 Current: 9/1/02 Expires: 8/31/04 County / State: Sauk 2430 LSS Counseling Clinic - Baraboo Meg Groves 449 Hitchcock Street Baraboo, WI (608) (608) Initial ification: 4/1/03 Current: 4/1/04 Expires: 3/31/06 County / State: Sauk 1769 Quaker Valley Counseling Services Myron Mickelson E Owens Drive La Valle, WI (608) (608) St. Joseph's Hospital 400 Water Street Hillsboro WI Initial ification: 4/1/88 Current: 4/1/04 Expires: 3/31/06 County / State: Sauk 1729 Pathway Clinic, S.C. Theodore Weltzin 50 Prairie Avenue Prairie du Sac, WI (608) (608) Pathway Clinic, S.C. 436 Sunrise Drive Spring Green WI Initial ification: 9/1/84 Current: 1/1/03 Expires: 12/31/04 County / State: Sauk

162 Page 162 of ified Provider Address, Contact, Phone Diversified Counseling Services, LLC Barbara Goodman 222 N. Walnut Street, #B Reedsburg, WI (608) (608) Initial ification: 10/1/03 Current: 10/1/03 Expires: 9/30/04 County / State: Sauk 1397 Hayward Area Memorial Hospital Jan McKichan N. State Highway 77 Hayward, WI (715) Initial ification: 5/1/85 Current: 7/1/02 Expires: 6/30/04 County / State: Sawyer Mental Health-Emergency Service 3 CSAS-Medically Managed Inpatient Detox Steven Ojibway HFS 34.3 HFS Lac Courte Orielles Community Health Center Mike Williams W. Trepania Road Hayward, WI (715) Initial ification: 6/1/87 Current: 4/1/04 Expires: 6/30/04 County / State: Sawyer Steven Ojibway 1825 Sawyer County Health & Human Services/Information & Referral Center Joe Bodo 105 E. 4th Street Hayward, WI (715) Information and Referral Center 5180 N. Main Street Winter WI Initial ification: 4/1/79 Current: 7/1/04 Expires: 6/30/06 County / State: Sawyer Steven Ojibway CSAS-Prevention HFS CSAS-Emergency Outpatient HFS Impact Counseling Services, LLC Renee Millwood 10045N State Highway 27 Hayward, WI (715) (000) Initial ification: 11/1/99 Current: 11/1/03 Expires: 10/31/05 County / State: Sawyer Steven Ojibway Mental Health-Day Treatment for HFS Children (2)(a)

163 Page 163 of 203 ified Provider Address, Contact, Phone 2213 Northland Counseling Services, Ltd. Initial ification: 4/3/00 County / State: Sawyer Barbara Miller Current: 4/1/ N. Highway 27 Expires: 3/31/05 Steven Ojibway Hayward, WI (715) (715) Northland Counseling Services, Ltd. Main Street Winter WI Northland Community Services Community Support Program Initial ification: 2/1/01 County / State: Sawyer Carol Lund Current: 9/1/ S. Florida Avenue Expires: 8/31/04 Steven Ojibway Hayward, WI (715) (715) Mental Health-Community Support Program HFS Noo Jii Moo Wii Ga Mieg (Lac Courte Oreilles Halfway House) Diane Sullivan W. Trepania Road Hayward, WI (715) (715) Initial ification: 7/18/03 Current: 7/18/03 County / State: Sawyer Expires: 6/30/04 Steven Ojibway CSAS-Transitional Residential HFS Stockbridge-Munsee Health and Wellness Center Rebecca Onesti W12802 County Road A Bowler, WI (715) Initial ification: 12/1/84 Current: 5/1/04 County / State: Shawano Expires: 4/30/05 Frank Bellaire 1554 Maehnowesekiyah Treatment Center Betty Jo Wozniak N2150 Kesaehkahtek Gresham, WI (715) (715) Initial ification: 11/21/89 Current: 12/1/03 County / State: Shawano Expires: 11/30/05 Frank Bellaire CSAS-Prevention HFS CSAS-Day Treatment HFS 75.12

164 Page 164 of ified Provider Address, Contact, Phone Lutheran Counseling and Family Services of Wisconsin, Inc. Chuck Meseck 324 S. Andrews Street Shawano, WI (715) Initial ification: 10/25/93 Current: 4/1/04 Lutheran Counseling and Family Services of Wisconsin, In 210 S. Oneida Street Green Bay WI Expires: 3/31/06 County / State: Shawano Frank Bellaire 1831 Shawano County Department of Community Programs Barbara Larson-Herber 504 Lakeland Road Shawano, WI (715) Birnamwood General Clinic 400 Railroad Avenue Birnamwood WI Shawano County Department of Community Programs 110 Cedar Street Tigerton WI Initial ification: 3/1/77 Current: 1/1/03 Expires: 12/31/04 County / State: Shawano Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Emergency Outpatient HFS Shawano Medical Center John Kestly 309 N. Bartlette Street Shawano, WI (715) Initial ification: 10/1/78 Current: 4/1/03 Expires: 3/31/05 County / State: Shawano CSAS-Medically Managed Inpatient Detox Frank Bellaire HFS Synergy Counseling Services, S.C. Neil Van Rossum 420 E. Green Bay Street, #201 Shawano, WI (715) Synergy Counseling Services, S.C. 32 Hughes Street Clintonville WI Initial ification: 9/1/87 Current: 9/1/02 Expires: 8/31/04 County / State: Shawano Frank Bellaire Synergy Counseling Services, S.C. 149 N. McKenzie Avenue Gillett WI Libertas of Shawano Patrick Ryan 420 E. Green Bay Street, #204 Shawano, WI (715) Initial ification: 3/1/99 Current: 4/1/03 Expires: 3/31/05 County / State: Shawano Frank Bellaire

165 Page 165 of 203 ified Provider Address, Contact, Phone 2242 Shawano County Department of Community Programs Community Support Program Initial ification: 1/1/00 County / State: Shawano Barbara Larson-Herber Current: 1/1/ Lakeland Road Expires: 12/31/04 Frank Bellaire Shawano, WI (715) Mental Health-Community Support Program HFS LSS Homme Outpatient Clinic - Shawano Gregory H. Robbins 607 E. Elizabeth Shawano, WI (715) (715) LSS Homme Outpatient Clinic - Shawano 111 N. Jefferson Street Green Bay WI Initial ification: 2/27/03 Current: 2/27/03 County / State: Shawano Expires: 2/29/04 Frank Bellaire 2511 Deborah Peterman Counseling Deborah Peterman 118 Division Street Shawano, WI (715) Initial ification: 3/24/04 Current: 3/24/04 County / State: Shawano Expires: 3/31/05 Frank Bellaire 2189 Ho-Chunk Nation Alcohol/Drug Program Services Initial ification: 3/1/00 County / State: Shawano Terry LittleWolf Current: 11/1/ Vinal Street P. O. 247 Expires: 10/31/05 K. L. Polly Wong Wittenberg, WI (715) (715) LSS Homme Youth and Family Programs, LSS Homme Outpatient Clinic Gregory Robbins W18105 Hemlock Road Wittenberg, WI (715) (705) Initial ification: 8/27/02 Current: 9/1/03 County / State: Shawano Expires: 8/31/04 Frank Bellaire 2489 Parkview Counseling Associates, LLC Nancy Shirk 107 Division Street Plymouth, WI (920) (414) Initial ification: 10/17/03 Current: 10/17/03 County / State: Sheboygan Expires: 10/31/04 Frank Bellaire

166 Page 166 of 203 ified Provider Address, Contact, Phone 1133 Catholic Charities of the Archdiocese of Milwaukee, Inc. Diane Knight 503 Wisconsin Avenue Sheboygan, WI (920) Initial ification: 4/1/83 Catholic Charities of the Archdiocese of Milwaukee, Inc. 139 N. Main Street West Bend WI Catholic Charities of the Archdiocese of Milwaukee, Inc. 430 N. Johnson Street Port Washington WI Current: 5/1/03 Expires: 4/30/05 County / State: Sheboygan Frank Bellaire 1189 Children's Service Society of Wisconsin Initial ification: 1/1/91 County / State: Sheboygan John Green Current: 12/1/ S. 8th Street Expires: 11/30/05 Frank Bellaire Sheboygan, WI (920) Family Service Association Eldon Burg 1930 N. 8th Street Sheboygan, WI (920) Initial ification: 12/1/90 Current: 12/1/03 County / State: Sheboygan Expires: 11/30/05 Frank Bellaire 1379 Genesis Sheboygan Residential Program John Monacelli 503 E. Wisconsin Avenue Sheboygan, WI (920) (414) Initial ification: 11/1/91 Current: 11/1/02 County / State: Sheboygan Expires: 10/31/04 Frank Bellaire CSAS-Transitional Residential HFS Lakeshore Mental Health, Inc. Initial ification: 5/9/94 County / State: Sheboygan Brian Lukach Current: 5/1/ Saemann Avenue Expires: 4/30/05 Frank Bellaire Sheboygan, WI (920) Lakeshore Mental Health, Inc. 453 E. Brooklyn Street Chilton WI Lakeside Clinic Initial ification: 2/1/85 County / State: Sheboygan Vincent Graser Current: 3/1/ Pennsylvania Avenue, #103 Expires: 2/28/05 Frank Bellaire Sheboygan, WI (920)

167 Page 167 of 203 ified Provider Address, Contact, Phone 1504 Libertas of Sheboygan Patrick W Ryan 3149 Saemann Avenue Sheboygan, WI (920) Initial ification: 1/16/98 Current: 4/1/03 County / State: Sheboygan Expires: 3/31/05 Frank Bellaire 1508 Lighthouse Therapy Services, LLC Initial ification: 1/1/96 County / State: Sheboygan Dan Huber Current: 8/1/ Niagara Avenue Expires: 7/31/04 Frank Bellaire Sheboygan, WI (920) Lighthouse Therapy Services, LLC N. Pt. Washington Road Mequon WI Lighthouse Therapy Services, LLC 74 S. Main Street Fond du Lac WI Lutheran Counseling and Family Services of Wisconsin, Inc. Chuck Meseck 1614 S. 23rd Street Sheboygan, WI (800) Initial ification: 4/1/96 Current: 4/1/04 Lutheran Counseling and Family Services of Wisconsin, In 222 Strafford Street Plymouth WI Lutheran Counseling and Family Services of Wisconsin, In 1712 Menasha Avenue Manitowoc WI Lutheran Counseling and Family Services of Wisconsin, In 717 Memorial Drive Chilton WI Expires: 3/31/06 County / State: Sheboygan Frank Bellaire 1656 Nett-Work Family Counseling, LLC Christine Nett 4027 S. Business Drive, #202 Sheboygan, WI (920) Nett-Work Family Counseling, LLC 605 Fremont Street Kiel WI Initial ification: 2/27/98 Current: 3/1/03 County / State: Sheboygan Expires: 2/28/05 Frank Bellaire

168 Page 168 of ified Provider Address, Contact, Phone Northshore Clinic of Sheboygan, Inc. Patricia Connors 615 S. 8th Street Sheboygan, WI (920) (920) Initial ification: 8/1/91 Current: 8/1/03 Expires: 7/31/05 County / State: Sheboygan Frank Bellaire 1833 Sheboygan Counseling & Wellness Center, LLC Karen Bita 2801 Calumet Drive Sheboygan, WI (920) Sheboygan Counseling & Wellness Center, LLC 1415 Eastern Avenue Plymouth WI Initial ification: 12/1/95 Current: 12/1/02 Expires: 11/30/04 County / State: Sheboygan Frank Bellaire 1834 Sheboygan County Department of Health and Human Services Myles Tonnacliff 1011 N. 8th Street Sheboygan, WI (920) Initial ification: 7/1/86 Current: 10/1/03 Expires: 9/30/04 County / State: Sheboygan Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Emergency Outpatient HFS Aurora Sheboygan Memorial Medical Center William Bronson 2629 N. 7th Street Sheboygan, WI (920) Aurora Sheboygan Memorial Medical Center 210 Selma Street Plymouth WI Initial ification: 5/1/87 Current: 5/1/04 Expires: 4/30/06 County / State: Sheboygan Frank Bellaire Mental Health-Adolescent HFS Inpatient Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Medically Monitored HFS Treatment

169 Page 169 of 203 ified Provider Address, Contact, Phone 1925 Aurora Sheboygan Clinic Initial ification: 7/1/86 County / State: Sheboygan Edmund Dy Current: 7/1/ Kohler Memorial Drive Expires: 6/30/06 Frank Bellaire Sheboygan, WI (920) Aurora Sheboygan Clinic 2336 Eastern Avenue Plymouth WI Aurora Sheboygan Clinic 635 Paine Avenue Kiel WI Wholistic Health Counseling Services Marianne Helm 5934 S. Business Drive, Hwy OK Sheboygan, WI (920) (920) Initial ification: 4/18/90 Current: 5/1/03 County / State: Sheboygan Expires: 4/30/05 Frank Bellaire 2042 Family - Youthworks, Inc. James Meanor 2205 Erie Avenue Sheboygan, WI (920) (920) Family - Youthworks, Inc Washington Street Manitowoc WI Initial ification: 10/22/98 Current: 6/1/04 County / State: Sheboygan Expires: 5/31/05 Frank Bellaire 2142 Choices Family Education Services, SC Initial ification: 8/4/99 County / State: Sheboygan Brian Fears Current: 2/1/ N. 9th Street Expires: 1/31/05 Frank Bellaire Sheboygan, WI (920) Sheboygan County Department of Health and Human Services CSP Initial ification: 7/1/96 County / State: Sheboygan Myles Tonnacliff Current: 10/1/ N. 8th Street Expires: 9/30/03 Frank Bellaire Sheboygan, WI (920) Mental Health-Community Support Program HFS 63

170 Page 170 of ified Provider Address, Contact, Phone Cedar Creek Family Counseling Buckley Meade 837 Riverfront Drive, #203 Sheboygan, WI (800) (414) Initial ification: 4/9/04 Current: 4/9/04 Expires: 4/30/05 County / State: Sheboygan Frank Bellaire 2451 Area Recovery Center - Lutheran Social Services Laurie Lessard th Avenue Baldwin, WI (715) (715) Initial ification: 7/1/03 Current: 7/1/03 Expires: 6/30/04 County / State: St Croix K. L. Polly Wong 1118 Burkwood, Inc. Herb Blaisdell 615 Old Mill Road Hudson, WI (715) Initial ification: 3/1/88 Current: 10/1/03 Expires: 9/30/05 County / State: St Croix K. L. Polly Wong CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS Hudson Hospital, Programs for Change Nancy Murphy 405 Stageline Road Hudson, WI (715) Initial ification: 9/1/90 Current: 12/1/03 Expires: 11/30/05 County / State: St Croix K. L. Polly Wong 2522 FamilyMeans Patricia Rogers 911-4th Street Hudson, WI (651) Initial ification: 4/20/04 Current: 4/20/04 County / State: St Croix Expires: 5/1/05 Roderic Senn

171 Page 171 of ified Provider Address, Contact, Phone Northwest Counseling Services, S.C. Peggy Audley 240 Wisconsin Drive, #104 New Richmond, WI (715) (715) Northwest Counseling Services, S.C. 370 Third Avenue Clear Lake WI Northwest Counseling Services, S.C. 314 N. 2nd Street, #250 River Falls WI Northwest Counseling Services, S.C. 502 Second Street, #302 Hudson WI Initial ification: 11/1/91 Current: 11/1/03 Expires: 10/31/05 County / State: St Croix K. L. Polly Wong 1855 St. Croix County Health and Human Services John Borup 1445 N. 4th Street New Richmond, WI (715) (715) Initial ification: 10/1/75 Current: 12/1/02 County / State: St Croix Expires: 11/30/04 K. L. Polly Wong Mental Health-Emergency HFS 34.2 Service St. Croix County Health & Human Services Community Support Program Ron Kiesler 1445 North 4th Street New Richmond, WI (715) (715) Initial ification: 1/1/90 Current: 4/1/04 Expires: 3/31/06 County / State: St Croix Mental Health-Community Support Program K. L. Polly Wong HFS St. Croix Psychological Clinic John Hamann 258 Riverside Drive River Falls, WI (715) Initial ification: 7/1/84 Current: 11/1/03 Expires: 10/31/05 County / State: St Croix K. L. Polly Wong 1577 Memorial Medical Center Doreen Eldred 101 S. Gibson Street Medford, WI (715) (715) Initial ification: 11/1/78 Current: 7/1/02 County / State: Taylor Expires: 6/30/04 Steven Ojibway

172 Page 172 of ified Provider Address, Contact, Phone North Central Counseling Center Joseph Roe 136 W. Broadway Medford, WI (715) North Central Counseling Center 1511 Railroad Avenue P.O. Box 104 Prentice WI Initial ification: 12/1/94 Current: 6/1/03 Expires: 5/31/05 County / State: Taylor Steven Ojibway 1898 Taylor County Human Services Department Susan Hady 540 E. College Street Medford, WI (715) Initial ification: 6/1/82 Current: 7/1/02 Expires: 6/30/04 County / State: Taylor Steven Ojibway 1363 Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 464 South St. Joseph Avenue Arcadia, WI (608) Initial ification: 1/1/92 Current: 6/1/04 Expires: 5/31/06 County / State: Trempealeau K. L. Polly Wong Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS CSAS-Medically Managed HFS Inpatient Detox 1371 Franciscan-Skemp Behavioral Health Community Support Program Mary Olstad-Hanson 464 S. St. Josephs Avenue Arcadia, WI (608) Initial ification: 3/1/93 Current: 3/1/03 Expires: 2/28/05 County / State: Trempealeau Mental Health-Community Support Program K. L. Polly Wong HFS Family and Children's Center, Inc. Sheri Bohland Highway 14 North Viroqua, WI (608) Initial ification: 10/1/75 Current: 5/1/04 Expires: 4/30/06 County / State: Vernon Roderic Senn Mental Health-Day Treatment for HFS Children (2)(a)

173 Page 173 of 203 ified Provider Address, Contact, Phone 1317 Family and Childrens Center, Inc. Community Support Program Initial ification: 1/1/96 County / State: Vernon Kathy Rohr-Ninmer Current: 5/1/03 Highway 14 North Expires: 4/30/05 Roderic Senn Viroqua, WI (608) Mental Health-Community Support Program HFS Psychiatric Associates Counseling Center, LLC Anita Zibton 122 West South Street Viroqua, WI (608) Psychiatric Associates Counseling Center, LLC 525 N. Prairie Street Prairie du Chien WI Initial ification: 8/1/87 Current: 8/1/03 Expires: 7/31/05 County / State: Vernon Roderic Senn 1963 Vernon Memorial Hospital Initial ification: 2/1/78 County / State: Vernon Sue Ellen Robertson Current: 9/1/ S. Main Street Expires: 8/31/04 Roderic Senn Viroqua, WI (608) CSAS-Medically Managed Inpatient Detox HFS Viroqua Healing Arts Mental Health Center Susan Kopp Townsley 224 East Court Street Viroqua, WI (608) Initial ification: 7/22/02 Current: 8/1/03 County / State: Vernon Expires: 7/31/05 Roderic Senn 1288 Eagle River Memorial Hospital Initial ification: 8/1/82 County / State: Vilas Patricia Van Acker Current: 6/1/ Hospital Road Expires: 5/31/03 Steven Ojibway Eagle River, WI (715) CSAS-Medically Managed Inpatient Detox HFS Koller Behavioral Health a Division of Howard Young Medical Initial ification: 8/1/78 County / State: Vilas Chris Hartlep Current: 5/1/ Hospital Road Expires: 4/30/03 Steven Ojibway Eagle River, WI (715)

174 Page 174 of 203 ified Provider Address, Contact, Phone 2324 Lutheran Counseling and Family Services of Wisconsin Initial ification: 6/1/01 County / State: Vilas Chuck Meseck Current: 12/1/ Silver Lake Road Expires: 11/30/05 Steven Ojibway Eagle River, WI (800) Family Resource Center Initial ification: 9/1/88 County / State: Vilas Linda Daniels Current: 9/1/ Peace Pipe Road Expires: 8/31/05 Steven Ojibway Lac du Flambeau, WI (715) O'Connell, Long and Associates Counseling Services Susan O'Connell 2100 Church Street East Troy, WI (262) O'Connell, Long and Associates Counseling Services 5411 Highway 50 Delavan WI Initial ification: 7/1/88 Current: 11/1/03 Expires: 10/31/05 County / State: Walworth Mark Isaacs 1262 Credence Therapy Associates Mark Mohapp 1-1/2 W. Geneva Street Elkhorn, WI (262) (262) Initial ification: 12/19/95 Current: 12/1/03 County / State: Walworth Expires: 11/30/05 Mark Isaacs 1495 Aurora Health Care "Southern Lakes, Inc." d/b/a Lakeland Medical Center Initial ification: 9/1/87 County / State: Walworth Kathleen Skowlund Current: 8/1/03 W3985 Cty Rd NN Expires: 7/31/05 Mark Isaacs Elkhorn, WI (262) CSAS-Emergency Outpatient HFS CSAS-Medically Managed Inpatient Detox HFS Walworth County Health and Human Services Thomas Mackesey W3955 County Trunk NN Elkhorn, WI (262) Initial ification: 10/1/75 Current: 9/1/02 County / State: Walworth Expires: 8/31/04 Mark Isaacs

175 Page 175 of 203 ified Provider Address, Contact, Phone 2030 Aro Counseling Centers, Inc. Initial ification: 4/1/98 County / State: Walworth Ellen Green Current: 4/1/04 N5876 U.S. Highway 12 Expires: 3/31/06 Mark Isaacs Elkhorn, WI (262) CSAS-Day Treatment HFS Wisconsin Community Mental Health Counseling Centers, Inc. Lawrence Kane, III 155 E. Capitol Drive, #1 Hartland, WI (262) Initial ification: 9/1/85 Wisconsin Community Mental Health Counseling Centers, 120 N. Main Street, #2 Hartford WI Wisconsin Community Mental Health Counseling Centers, N. Pt. Washington Rd., #101 Mequon WI Current: 7/1/02 Expires: 6/30/04 County / State: Walworth Mark Isaacs Wisconsin Community Mental Health Counseling Centers, W. Forest Home Avenue Hales Corners WI Wisconsin Community Mental Health Counseling Centers, 120 N. Main Street, #250 West Bend WI Centegra Behavioral Health Initial ification: 4/1/90 County / State: Walworth Eshwar Gumidyala Current: 1/1/ Geneva Parkway, #B Expires: 12/31/04 Mark Isaacs Lake Geneva, WI (262) Lake Geneva Wellness Clinic Initial ification: 2/1/84 County / State: Walworth Jon Carlson Current: 4/1/ Broad Street, #201 Expires: 3/31/05 Mark Isaacs Lake Geneva, WI (262) (262) Mercy Options - Outpatient Services Lisa Reeves N2950 State Road 67 Lake Geneva, WI (800) Initial ification: 10/16/02 Current: 10/16/02 County / State: Walworth Expires: 10/31/04 Mark Isaacs

176 Page 176 of 203 ified Provider Address, Contact, Phone 2517 Aurora Medical Group Behavioral Health Services - Lake Geneva Don Crowder, PhD 146 E. Geneva Square Lake Geneva, WI (262) Initial ification: 2/1/04 Current: 2/1/04 Aurora Medical Group Behavioral Health Svs - Lake Genev 1550 Hobbs Drive Delavan WI Expires: 1/31/05 County / State: Walworth Mark Isaacs 1115 Brotoloc, Inc. Outpatient Clinic Initial ification: 5/1/94 County / State: Walworth Sue Millard Current: 5/1/ Taft Street Expires: 4/30/05 Mark Isaacs Whitewater, WI (262) Family Resources Associates, Inc. Donald J. Meyer 1173 W Main St Whitewater, WI (262) (920) Family Resources Associates, Inc. 331 N. Main Street Lake Mills WI Initial ification: 12/1/02 Current: 11/1/03 County / State: Walworth Expires: 10/31/05 Mark Isaacs 1844 Southern Lakes Mental Health Services Initial ification: 7/1/97 County / State: Walworth David Mann Current: 1/1/ /2 W. Geneva Street Expires: 12/31/04 Mark Isaacs Williams Bay, WI (262) (262) Soar Counseling Services Cheri Heibel 11 Fifth Avenue Shell Lake, WI (715) (715) Shell Lake Elementary & High School 271 Highway 63 Shell Lake WI Initial ification: 3/11/04 Current: 3/11/04 County / State: Washburn Expires: 3/31/05 Roderic Senn 1404 Healthy Relationships, Inc. Brenda Schaeffer County Road A Spooner, WI (715) Initial ification: 6/15/93 Current: 11/1/02 County / State: Washburn Expires: 10/31/04 Roderic Senn

177 Page 177 of 203 ified Provider Address, Contact, Phone 1845 Spooner Health Systems Linda Trent 819 Ash Street Spooner, WI (715) Initial ification: 11/1/89 Current: 11/1/01 Expires: 9/30/03 County / State: Washburn CSAS-Medically Managed Inpatient Detox Roderic Senn HFS Northwest Counseling and Guidance Clinic Initial ification: 2/3/03 County / State: Washburn Tim Newlin Current: 2/1/ N River Street Expires: 1/31/05 Roderic Senn Spooner, WI Northwoods Community Health Center 600 Shell Creek Road Minong WI Aurora Behavioral Health Center - Germantown Initial ification: 4/1/02 County / State: Washington Kate Connelly Current: 4/1/04 W176 N9830 Rivercrest Drive, #104 Expires: 3/31/06 Mark Isaacs Germantown, WI (414) (414) Lutheran Social Services - Germantown Bernestine Jeffers N112 W15568 Mequon Road Germantown, WI (262) Initial ification: 12/1/02 Current: 12/1/02 County / State: Washington Expires: 11/30/04 Mark Isaacs 1376 Genesis Behavioral Services Hartford Outpatient Clinic Initial ification: 4/1/94 County / State: Washington John Monacelli Current: 4/1/ E. Sumner Street Expires: 3/31/06 Mark Isaacs Hartford, WI (262) Kettle Moraine Treatment Center-Hartford Initial ification: 4/1/97 County / State: Washington Current: 8/1/ E. Sumner Street Expires: Mark Isaacs Hartford, WI (414)

178 Page 178 of 203 ified Provider Address, Contact, Phone 1017 Affiliated Clinical Services, Inc. Peter Josse 400 W. River Drive West Bend, WI (262) (262) Affiliated Clinical Services, Inc. 38 Sell Drive, #B Hartford WI Initial ification: 10/1/84 Current: 7/1/02 County / State: Washington Expires: 6/30/04 Mark Isaacs 1060 Aro Counseling Centers, Inc. Thomas Holt 1212 E. Washington Street West Bend, WI (262) Initial ification: 2/15/96 Current: 2/1/04 County / State: Washington Expires: 1/31/06 Mark Isaacs CSAS-Day Treatment HFS Council on AODA of Washington County Initial ification: 3/1/90 County / State: Washington Mary Simon Current: 3/1/ E. Washington, #300 Expires: 2/28/05 Mark Isaacs West Bend, WI (262) CSAS-Prevention HFS Genesis Behavioral Services Initial ification: 1/1/87 County / State: Washington John Monacelli Current: 1/1/ Clarence Court Expires: 12/31/05 Mark Isaacs West Bend, WI (262) Genesis Behavioral Services W157 N11539 Fond du Lac Avenue Germantown WI CSAS-Day Treatment HFS Genesis Behavioral Services 279 S. 17th Avenue West Bend WI Genesis Behavioral Services 500 N. Schmidt Road West Bend WI Northshore Clinic & Consultants, Inc. Joy Myers 1615 Barton Avenue West Bend, WI (262) Initial ification: 11/1/91 Current: 11/1/03 County / State: Washington Expires: 10/31/05 Mark Isaacs

179 Page 179 of ified Provider Address, Contact, Phone Washington County Mental Health Center John Easterday 333 E. Washington Street #2000 West Bend, WI (262) Initial ification: 10/1/75 Current: 5/1/03 Expires: 4/30/05 County / State: Washington Mark Isaacs Mental Health-Day Treatment HFS Mental Health-Emergency HFS 34.3 Service Washington County Mental Health Center - Inpatient John Easterday 551 Silverbrook Drive West Bend, WI (262) Initial ification: 6/5/89 Current: 5/1/03 Expires: 4/30/05 County / State: Washington Mark Isaacs Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS Ziegler & Braaksma, Inc. Gene Braaksma 125 S. Main Street West Bend, WI (262) Ziegler & Braaksma 2266 N. Prospect Avenue Milwaukee WI Ziegler & Braaksma 175 E Wisconsin Avenue Oconomowoc WI (262) Washington County Mental Health Center Community Support Program Jim Strachota 333 E. Washington St., #2000 West Bend, WI (262) Initial ification: 12/31/97 Current: 5/28/03 Expires: 1/31/05 Initial ification: 10/1/75 Current: 5/1/04 Expires: 4/30/06 County / State: Washington Mark Isaacs County / State: Washington Mental Health-Community Support Program Mark Isaacs HFS Cornerstone Counseling Services, Inc. Scott Allen 279 S. 17th Ave, Suite 10 West Bend, WI (262) (262) Initial ification: 5/1/03 Current: 5/1/04 Expires: 4/30/06 County / State: Washington Mark Isaacs

180 Page 180 of 203 ified Provider Address, Contact, Phone 2166 H/S Psychological Services, SC Jim Harasymiw W236 S7050 Big Bend Drive, #2 Big Bend, WI (262) Initial ification: 12/1/99 Current: 6/1/03 County / State: Waukesha Expires: 5/31/05 Mark Isaacs CSAS-Day Treatment HFS Bray Consultants Initial ification: 4/1/92 James Bray Current: 4/1/ W. Bluemound Road, #300 Expires: 3/31/06 Brookfield, WI (262) Bray Sussex Family Practice Center N64 W24086 Main Street Sussex WI County / State: Waukesha Mark Isaacs 1150 Center For Holistic Health Initial ification: 2/4/98 County / State: Waukesha Robin Coleman Current: 2/1/ W. Capitol Drive, #106 Expires: 1/31/05 Mark Isaacs Brookfield, WI (262) Cornerstone Counseling Services, Inc. Initial ification: 3/1/93 County / State: Waukesha Scott Allen Current: 3/1/ W. Bluemound Road, #200 Expires: 2/28/06 Mark Isaacs Brookfield, WI (262) Elmbrook Family Counseling Center Initial ification: 3/1/78 County / State: Waukesha Howard Haven Current: 4/1/ W. North Avenue Expires: 3/31/05 Mark Isaacs Brookfield, WI (414) (262) Life-Span Family Services Thomas Lehmann W. Bluemound Road, #100 Brookfield, WI (262) Life-Span Family Services 2015 E. Newport Avenue, #308 Milwaukee WI Initial ification: 11/1/89 Current: 1/2/04 County / State: Waukesha Expires: 10/31/05 Mark Isaacs

181 Page 181 of 203 ified Provider Address, Contact, Phone 1889 Suburban Counseling Services, LLC Initial ification: 8/1/87 County / State: Waukesha Michael Mandli Current: 8/1/ N. Brookfield Road Expires: 7/31/06 Mark Isaacs Brookfield, WI (262) (262) Suburban Counseling Services, Inc. N6 W23673 Bluemound Road Waukesha WI Systemic Perspectives, Inc. Nancy Adams 2515 N. 124th Street, #101 Brookfield, WI (262) (262) Initial ification: 3/14/90 Current: 4/1/04 County / State: Waukesha Expires: 3/31/06 Mark Isaacs 2035 Mislinski-Zosel, S.C. Mary Zosel 250 N. Sunnyslope Road, #129 Brookfield, WI (262) (262) Initial ification: 5/28/98 Current: 6/1/04 County / State: Waukesha Expires: 5/31/06 Mark Isaacs 2182 Waukesha Hlth Sys Behavioral Medicine Center Outpatient-Brookfield Frederick Syrjanen 2085 N. Calhoun Road Brookfield, WI (262) Initial ification: 12/1/99 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 2437 Tower Behavioral Health, SC Initial ification: 4/1/03 County / State: Waukesha Beth A. Johnson Current: 4/1/ A N. Calhoun Road, #201 Expires: 3/31/06 Mark Isaacs Brookfield, WI (262) (262) Wisconsin Early Autism Project, Inc Glen Sallows 150 N. Sunnyslope Rd., Suite 100 Brookfield, WI (262) Initial ification: 5/20/03 Current: 6/1/04 County / State: Waukesha Expires: 5/31/06 Mark Isaacs

182 Page 182 of 203 ified Provider Address, Contact, Phone 2488 Stress Management and Mental Health Clinics Gary Major 333 Bishops Way, Suite 125 Brookfield, WI (262) (414) Initial ification: 10/7/03 Current: 10/7/03 County / State: Waukesha Expires: 9/30/04 Mark Isaacs 2514 Red Oak Counseling, Ltd. Initial ification: 3/1/04 County / State: Waukesha Roxanne Guenther Current: 3/1/ W. Greenfield Avenue, #102 Expires: 2/28/05 Mark Isaacs Brookfield, WI (262) (262) Holistic Wellness Center, LLC Jeff S. Hollowell 675 N. Brookfield Road Brookfield, WI (262) (608) Initial ification: 5/18/04 Current: 5/18/04 County / State: Waukesha Expires: 5/31/05 Mark Isaacs 2457 Lad Lake, Inc. Initial ification: 7/1/03 County / State: Waukesha Dennis Neuenfeldt Current: 7/1/03 W350 S1401 Waterville Road Expires: 6/30/04 Mark Isaacs Dousman, WI (262) American Behavioral Clinics, SC - Elmbrook Clinic Deana Ohman Watertown Plank Road Elm Grove, WI (262) (262) Initial ification: 10/1/87 Current: 2/1/04 County / State: Waukesha Expires: 1/31/06 Mark Isaacs 1296 Elm Grove Psychotherapy and Counseling Center Initial ification: 6/1/90 County / State: Waukesha James Holifield Current: 6/1/ W. Bluemound Road, #308 Expires: 5/31/05 Mark Isaacs Elm Grove, WI (414)

183 Page 183 of 203 ified Provider Address, Contact, Phone 2318 West Grove Clinic Fred Malesevich Knoll Road, #110 Elm Grove, WI (262) (262) Initial ification: 6/22/01 Current: 7/1/04 County / State: Waukesha Expires: 6/30/06 Mark Isaacs 1061 Arrowhead Family Counseling Initial ification: 1/1/95 County / State: Waukesha Leonard Narus Current: 1/1/03 N53 W30465 Arrowhead Drive Expires: 12/31/04 Mark Isaacs Hartland, WI (262) Alliance Counseling Center Initial ification: 8/6/99 County / State: Waukesha Gerald Flanagan Current: 8/1/ Cottonwood Avenue, #4 Expires: 7/31/05 Mark Isaacs Hartland, WI (262) (262) Aro Counseling Centers, Inc. Karen Young 141 A. Cottonwood Avenue Hartland, WI (262) Initial ification: 7/26/00 Current: 8/1/03 County / State: Waukesha Expires: 7/31/05 Mark Isaacs CSAS-Day Treatment HFS Allied Mental Health & Rehabilitation Clinics Initial ification: 9/1/93 County / State: Waukesha James Paquette Current: 9/1/02 N84 W19587 Menomonee Avenue Expires: 8/31/04 Mark Isaacs Menomonee Falls, WI (262) Aro Counseling Centers, Inc. Initial ification: 8/1/95 County / State: Waukesha Karen Young Current: 8/1/02 N84 W15787 Menomonee Avenue Expires: 7/31/04 Mark Isaacs Menomonee Falls, WI (262) CSAS-Day Treatment HFS 75.12

184 Page 184 of 203 ified Provider Address, Contact, Phone 1225 Community Memorial Hospital- Community Recovery Center Lynn Adams N87 W17301 Main Street Menomonee Falls, WI (262) (262) Initial ification: 10/1/82 Current: 9/1/02 County / State: Waukesha Expires: 8/31/04 Mark Isaacs 1311 Falls Counseling, Ltd. Susan Bayer Van Steen N89 W16785 Appleton Avenue Menomonee Falls, WI (262) (262) Initial ification: 10/1/95 Current: 10/1/02 County / State: Waukesha Expires: 9/30/04 Mark Isaacs 1579 Medical Associates Health Centers Initial ification: 2/1/81 County / State: Waukesha Julie Mondroski Current: 9/1/02 W180 N7950 Town Hall Road Expires: 8/31/04 Mark Isaacs Menomonee Falls, WI (262) Medical Associates Health Centers N14 W23900 Stonebridge Drive Waukesha WI Medical Associates Health Centers 110 Lone Oak Lane Hartford WI Clinical Psychology Associates Initial ification: 7/1/81 County / State: Waukesha Paul Griswold Current: 3/1/04 W156 N8327 Pilgrim Road, #302 Expires: 2/28/06 Mark Isaacs Menomonie Falls, WI (262) Community Memorial Hospital Julie Czerwinski W180 N8085 Town Hall Road Menomonie Falls, WI (262) (262) Initial ification: 10/1/82 Current: 9/1/02 County / State: Waukesha Expires: 8/31/04 Mark Isaacs Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS Relationship Communication Center Elaine Kubicki 1025 S. Moorland Road, #403 Milwaukee, WI (262) (262) Initial ification: 5/15/95 Current: 6/1/04 County / State: Waukesha Expires: 5/31/06 Mark Isaacs

185 Page 185 of ified Provider Address, Contact, Phone Norris Adolescent Center Don Harris W247 S10395 Center Drive Mukwonago, WI (262) Initial ification: 3/1/95 Current: 3/1/04 Expires: 2/28/06 County / State: Waukesha Mark Isaacs Mental Health-Day Treatment for HFS Children (2)(a) 2185 Waukesha Health System Behavioral Medicine Center Outpatient-Mukwonago Frederick Syrjanen 400 Bayview Road Mukwonago, WI (262) Initial ification: 12/1/99 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 2402 Cornerstone Counseling Services, Inc. Scott G. Allen 555 Bay View Road, #4 Mukwonago, WI (262) Initial ification: 11/1/02 Current: 11/1/03 County / State: Waukesha Expires: 10/31/05 Mark Isaacs 2184 Waukesha Health System Behavioral Medicine Center Outpatient-Muskego Frederick Syrjanen S69 W15636 Janesville Road Muskego, WI (262) Initial ification: 12/1/99 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 1126 Care & Counsel John Rader W. National Avenue New Berlin, WI (262) Initial ification: 9/1/84 Current: 2/1/02 Expires: 1/31/04 County / State: Waukesha Mark Isaacs 1437 Institute For Mental Health, S.C. Doralynne Metz W. National Avenue, #180 New Berlin, WI (262) (262) Initial ification: 7/1/85 Current: 10/1/03 Expires: 9/30/05 County / State: Waukesha Mark Isaacs

186 Page 186 of 203 ified Provider Address, Contact, Phone 1649 Aurora Behavioral Health Center - New Berlin Initial ification: 2/1/94 County / State: Waukesha Katherine Connelly Current: 2/1/ W. National Avenue, #193 Expires: 1/31/06 Mark Isaacs New Berlin, WI (262) Waukesha Health System Behavioral Medicine Center Outpatient-New Berlin Frederick Sryjanen W. National Avenue New Berlin, WI (262) Initial ification: 12/1/01 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 2445 Kristine L. Clark- Setness, MS, LMFT, ATR, Inc. Initial ification: 5/7/03 County / State: Waukesha Kristine Clark-Setnes Current: 6/1/ E. Sadd Street Expires: 5/31/06 Mark Isaacs North Prairie, WI (262) Family Achievement Clinic, S.C. Initial ification: 3/1/84 County / State: Waukesha Michael Cornale Current: 10/1/03 24 S. Main Street Expires: 9/30/05 Mark Isaacs Oconomowoc, WI (262) (262) Family Service of Waukesha Cameron Johnston 119 A S. Silver Lake Street Oconomowoc, WI (262) Initial ification: 12/1/89 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 1747 Professional Recovery Network - Herrington Recovery Center Margaret Underhill Valley Road Oconomowoc, WI (262) Initial ification: 5/15/97 Current: 6/1/04 County / State: Waukesha Expires: 5/31/06 Mark Isaacs

187 Page 187 of ified Provider Address, Contact, Phone Rogers Memorial Hospital David Moulthrop Valley Road Oconomowoc, WI (262) (262) Initial ification: 8/1/88 Current: 11/1/03 Expires: 10/31/05 County / State: Waukesha Mark Isaacs Mental Health-Day Treatment for HFS Children (2)(c) Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS South Street Clinic Anne Weston 416 South Street Oconomowoc, WI (414) Initial ification: 6/1/84 Current: 6/1/04 Expires: 5/31/06 County / State: Waukesha Mark Isaacs 1879 Step 3 Counseling, Inc. Kim Jaeger 117 W. South Street Oconomowoc, WI (262) Initial ification: 1/1/92 Current: 1/1/04 Expires: 12/31/05 County / State: Waukesha Mark Isaacs 2047 Cornerstone Counseling Services Scott Allen 345 W. Wisconsin Avenue Oconomowoc, WI (262) Initial ification: 8/18/98 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 2070 Rogers Memorial Hospital - Herrington Recovery Center David Moulthrop Valley Road Oconomowoc, WI (414) Initial ification: 6/1/98 Current: 6/1/03 Expires: 5/31/05 County / State: Waukesha Mark Isaacs CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS 75.14

188 Page 188 of 203 ified Provider Address, Contact, Phone 2504 Waukesha Health System Behavioral Medicine Center Outpatient- Oconomowoc Initial ification: 1/1/04 County / State: Waukesha Frederick Syrjanen Current: 1/1/ Corporate Center Drive Expires: 12/31/05 Mark Isaacs Oconomowoc, WI Quad/Med, LLC, Substance Abuse Counseling Services Bill Arnold W224 N3322 Duplainville Road Pewaukee, WI (262) Quad/Graphics 952 Badger Road Lomira WI Quad/Graphics 555 S. 108th Street Milwaukee WI Quad/Graphics N63 W23075 Hwy 74 Sussex WI Quad/Med 1900 W. Summer Street Hartford WI Initial ification: 12/1/95 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 2296 Inner Awakenings Diagnostic and Counseling Clinic Initial ification: 3/9/01 County / State: Waukesha Melissa Ford Current: 4/1/ Oakton Avenue Expires: 3/31/06 Mark Isaacs Pewaukee, WI (262) A Healing Center/Efficiency Management Consulting, S.C. Initial ification: 9/1/87 County / State: Waukesha JoAnn Cooper Current: 1/1/ Watertown Road Expires: 12/31/05 Mark Isaacs Waukesha, WI (262) (262) Amy Schley, Ph.D., S.C. Initial ification: 9/1/92 County / State: Waukesha Amy Schley Current: 9/1/ Wisconsin Avenue Expires: 8/31/04 Mark Isaacs Waukesha, WI (262)

189 Page 189 of 203 ified Provider Address, Contact, Phone 1058 Aro Counseling Centers, Inc. Initial ification: 8/1/92 County / State: Waukesha Dawn Rolling Current: 8/1/ W. Moreland Boulevard Expires: 7/31/04 Mark Isaacs Waukesha, WI (262) CSAS-Day Treatment HFS Brookdale Clinic, S.C. Initial ification: 4/1/92 County / State: Waukesha Ilana Hadar Current: 4/1/ Watertown Road, #206 Expires: 3/31/05 Mark Isaacs Waukesha, WI (262) (262) Catholic Charities - Waukesha Initial ification: 6/1/81 County / State: Waukesha Pat Gilmore Current: 5/1/ N. Grand Avenue, #210 Expires: 4/30/05 Mark Isaacs Waukesha, WI (262) Catholic Charities - Waukesha 1755 Calhoun Road Brookfield WI Catholic Charities - Waukesha N88 W17658 Christman Road Menomonie Falls WI Catholic Charities - Waukesha W. National Avenue New Berlin WI Children's Service Society of Wisconsin Lisa Monsivais 223 Wisconsin Avenue, #D Waukesha, WI (262) (262) Initial ification: 12/1/82 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 1340 Family Service of Waukesha Initial ification: 9/1/77 County / State: Waukesha Cameron Johnston Current: 12/1/ W. Moreland Boulevard Expires: 11/30/05 Mark Isaacs Waukesha, WI (262) Family Service of Waukesha N88 W16848 Main Street Menomonie Falls WI Family Service of Waukesha 1570 Moreland Boulevard Waukesha WI 53186

190 Page 190 of 203 ified Provider Address, Contact, Phone 1382 Genesis Halfway House Initial ification: 7/1/94 County / State: Waukesha Kim Conrad Current: 7/1/ Motor Avenue Expires: 6/30/06 Mark Isaacs Waukesha, WI (262) CSAS-Transitional Residential HFS Lutheran Social Services House of Hope Initial ification: 7/1/94 County / State: Waukesha Lori Hughes Current: 1/1/ Sentinel Drive Expires: 12/31/04 Mark Isaacs Waukesha, WI (262) (262) CSAS-Transitional Residential HFS La Casa de Esperanza, Inc. Initial ification: 4/1/93 County / State: Waukesha Mary Geraghty Current: 4/1/ NW Barstow Expires: 3/31/06 Mark Isaacs Waukesha, WI (262) (262) Lutheran Social Services - Waukesha Initial ification: 7/1/89 County / State: Waukesha Meg Groves Current: 7/1/03 N555 W226 Eastmound Drive Expires: 6/30/05 Mark Isaacs Waukesha, WI (262) Lutheran Social Services-Waukesha 720 W. Rochester Mukwonago WI Lutheran Social Services-Waukesha 204 N. 10th Street Watertown WI Manos, Smith and Associates Initial ification: 9/1/90 County / State: Waukesha Roland Manos Current: 9/1/ Pilot Court, #400 Expires: 8/31/05 Mark Isaacs Waukesha, WI (262) New Life Resources, Inc. Initial ification: 6/1/88 County / State: Waukesha Daniel Green Current: 6/1/ Watertown Road, #102 Expires: 5/31/04 Mark Isaacs Waukesha, WI (414)

191 Page 191 of ified Provider Address, Contact, Phone Professional Recovery Network/Quality Addiction Management Margaret Underhill 2422 N. Grandview Boulevard Waukesha, WI (262) Initial ification: 4/1/94 Current: 8/1/03 Expires: 7/31/05 County / State: Waukesha Mark Isaacs CSAS-Narcotic Treatment HFS Stress Management & Mental Health Clinics, Inc. Paul Glass 2717 N. Grandview Blvd., #303 Waukesha, WI (262) (262) Stress Management & Mental Health Clinics, Inc. W307 S4759 Highway 83 Genesee Depot WI Initial ification: 10/1/90 Current: 10/1/02 Expires: 9/30/04 County / State: Waukesha Mark Isaacs 1954 Unlimited Freedom Center Joyce Lynn 707 W. Moreland Road, #4A Waukesha, WI (262) Initial ification: 6/1/89 Current: 6/1/01 Expires: 5/31/03 County / State: Waukesha Mark Isaacs 1970 Waukesha County Mental Health Center Gordon Owley 500 Riverview Avenue Waukesha, WI (262) Waukesha County Mental Health Center 1501 Airport Road Waukesha WI Initial ification: 4/1/84 Current: 4/1/04 Expires: 3/31/06 County / State: Waukesha Mark Isaacs Mental Health-Emergency HFS 34.3 Service Waukesha County Mental Health Center Michele Cusatis 1501 Airport Road Waukesha, WI (262) (262) Initial ification: 4/1/87 Current: 4/1/04 Expires: 3/31/06 County / State: Waukesha Mark Isaacs Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS 75.06

192 Page 192 of ified Provider Address, Contact, Phone Waukesha County Health and Human Services-Community Support Program M. Susan Walker 1501 Airport Road Waukesha, WI (262) Initial ification: 10/1/90 Current: 10/1/03 Expires: 9/30/05 County / State: Waukesha Mental Health-Community Support Program Mark Isaacs HFS Waukesha Counseling Services Lauri Flick-Harty 2314 N. Grandview Blvd., #309 Waukesha, WI (262) Initial ification: 2/1/83 Current: 6/1/03 Expires: 5/31/05 County / State: Waukesha Mark Isaacs 1974 Waukesha Health System Behavioral Medicine Center Outpatient-American Ave Frederick Syrjanen 721 American Avenue, #501 Waukesha, WI (262) Initial ification: 6/1/86 Current: 1/1/04 Expires: 12/31/05 County / State: Waukesha Mark Isaacs 1975 Waukesha Health System Lawrence Center Frederick Syjanen 3011 Saylesville Road Waukesha, WI (262) Initial ification: 1/1/86 Current: 1/1/04 Expires: 12/31/05 County / State: Waukesha Mark Isaacs CSAS-Medically Monitored HFS Residential Detox CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS 75.12

193 Page 193 of ified Provider Address, Contact, Phone Waukesha Memorial Hospital Frederick Syrjanen 725 American Avenue Waukesha, WI (262) Initial ification: 6/1/86 Current: 1/1/04 Expires: 12/31/05 County / State: Waukesha Mark Isaacs Mental Health-Day Treatment for HFS Children (2)(c) Mental Health-Adolescent HFS Inpatient Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Day Treatment HFS Women & Families Psychotherapy Resources Romona Powers 626 W. Moreland Boulevard Waukesha, WI (262) (262) Initial ification: 7/1/79 Current: 4/1/03 Expires: 3/31/05 County / State: Waukesha Mark Isaacs Lees Psychological Services, Inc. Laura Lees W. Watertown Road, #203 Waukesha, WI (262) (262) Lees Psychological Services, Inc. W62 N225 Washington Avenue Cedarburg WI Cornerstone Counseling Services, Inc. Scott Allen 741 N. Grand Avenue, Suite 302 Waukesha, WI (262) Initial ification: 9/25/98 Current: 10/1/03 County / State: Waukesha Expires: 9/30/05 Mark Isaacs Initial ification: 8/18/98 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 2258 Addiction Resource Council, Inc. Claudia Roska W228 N683 Westmound Drive Waukesha, WI (262) Initial ification: 7/26/00 Current: 7/1/03 County / State: Waukesha Expires: 6/30/05 Mark Isaacs CSAS-Prevention HFS CSAS-Emergency Outpatient HFS 75.05

194 Page 194 of 203 ified Provider Address, Contact, Phone 2301 Creative Clinical Services, LLC Susan Huycke 2430 N. Grandview Boulevard, #A Waukesha, WI (262) Initial ification: 2/28/01 Current: 3/1/02 County / State: Waukesha Expires: 2/29/04 Mark Isaacs 2338 IPC Mental Health Centers Cary Kohlenberg 2717 N. Grandview Blvd., #202 Waukesha, WI (262) Initial ification: 11/9/01 Current: 12/1/02 County / State: Waukesha Expires: 11/30/04 Mark Isaacs 2386 Aurora Behavioral Health Center - Waukesha Initial ification: 4/1/02 County / State: Waukesha Kate Connelly Current: 4/1/04 W231 N1440 Hwy. 164, #310 Expires: 3/31/06 Mark Isaacs Waukesha, WI (414) (414) Century House Initial ification: 9/17/03 County / State: Waukesha Larry Butler Current: 9/17/ Northview Road Expires: 9/30/04 Mark Isaacs Waukesha, WI (262) (262) CSAS-Transitional Residential HFS Medical and Counseling Associates Initial ification: 1/1/86 County / State: Waupaca James Wiedenhoeft Current: 2/1/ Burton Road Expires: 1/31/06 Frank Bellaire New London, WI (920) Medical and Counseling Associates 300 N. Woods Edge Drive Appleton WI New London Family Medical Center Initial ification: 4/1/78 County / State: Waupaca Karen Laur Current: 8/1/ Mill Street Expires: 7/31/03 Frank Bellaire New London, WI (920) CSAS-Medically Managed Inpatient Detox HFS 75.06

195 Page 195 of ified Provider Address, Contact, Phone Ministry Behavioral Health Joanne Griffin 190 Grand Seasons Drive Waupaca, WI (715) Initial ification: 3/1/88 Current: 7/1/03 Expires: 6/30/04 County / State: Waupaca Steven Ojibway CSAS-Day Treatment HFS Synergy Counseling Services Neil Van Rossum Initial ification: 11/16/95 Current: 11/1/02 County / State: Waupaca Crystal Hills Plaza 1439 Churchill Street, #103 Expires: 10/31/04 Frank Bellaire Waupaca, WI (715) (715) Waupaca County Department of Health and Human Services Dennis Dornfeld 811 Harding Street Waupaca, WI (715) Initial ification: 12/1/81 Current: 7/1/04 Expires: 6/30/06 Waupaca County Department of Health and Human Service 1405 Mill Street New London WI County / State: Waupaca Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Emergency Outpatient HFS Waupaca County Department of Health & Human Services CSP Dennis Dornfeld 811 Harding Street Waupaca, WI (715) Initial ification: 12/1/81 Current: 7/1/04 Expires: 6/30/05 County / State: Waupaca Mental Health-Community Support Program Frank Bellaire HFS ThedaCare Behavioral Health Patricia Marzullo 902 Riverside Drive, #204 Waupaca, WI (715) (920) ThedaCare Behavioral Health 1405 Mill Street New London WI Initial ification: 7/30/99 Current: 3/1/04 County / State: Waupaca Expires: 2/28/06 Frank Bellaire

196 Page 196 of ified Provider Address, Contact, Phone Waushara County Department of Human Services CSP Lucey Rowley 230 W. Park Street Wautoma, WI (920) (920) Initial ification: 8/1/97 Current: 11/1/03 Expires: 10/31/04 County / State: Waushara Mental Health-Community Support Program Frank Bellaire HFS Waushara County Department of Human Services Lucey Rowley 230 W. Park Street Wautoma, WI (920) Initial ification: 10/1/75 Current: 11/1/02 County / State: Waushara Expires: 10/31/04 Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Prevention HFS CSAS-Emergency Outpatient HFS All-Area Counseling Services, Inc. Jean Lemanski 719 W. Main Street Wautoma, WI (920) (920) Initial ification: 4/1/04 Current: 4/1/04 Expires: 3/31/05 County / State: Waushara Frank Bellaire 1015 Psychology Associates of the Fox Cities, Ltd. Frank Cummings W3124 Van Roy Road Appleton, WI (920) (920) Initial ification: 10/30/90 Current: 11/1/03 County / State: Winnebago Expires: 10/31/05 Frank Bellaire 1138 Catholic Charities Diocese of Green Bay, Inc. Karen Johnston 214 E. Summer Street Appleton, WI (920) Catholic Charities Diocese of Green Bay, Inc. 223 S. Division Street Waupaca WI Catholic Charities Diocese of Green Bay, Inc. 474 S. Cambridge Street Wautoma WI Initial ification: 1/26/88 Current: 2/1/03 Expires: 1/31/05 County / State: Winnebago Frank Bellaire

197 Page 197 of 203 ified Provider Address, Contact, Phone 1182 Children's Service Society of Wisconsin Kathleen Mueske 1800 Appleton Road Menasha, WI (920) (992) Children's Service Society of Wisconsin 36 Broad Street Oshkosh WI Initial ification: 12/1/87 Current: 3/1/04 County / State: Winnebago Expires: 2/28/05 Frank Bellaire 1333 Family Services of Northeast Wisconsin, Inc. Initial ification: 3/1/83 County / State: Winnebago Thomas Martin Current: 12/1/ Appleton Road Expires: 11/30/04 Frank Bellaire Menasha, WI (920) Reach Counseling Services Marie Nesemann 1244 C Midway Road Menasha, WI (920) Initial ification: 1/11/93 Current: 1/1/03 County / State: Winnebago Expires: 12/31/04 Frank Bellaire 1962 Milwaukee Health Service Systems d/b/a Valley Health Services Initial ification: 7/9/90 County / State: Winnebago Jane Williquette Current: 7/1/ W. Tuckaway Lane Expires: 6/30/06 Frank Bellaire Menasha, WI (920) CSAS-Narcotic Treatment HFS Fox Valley Counseling, Inc. Initial ification: 8/4/92 County / State: Winnebago Dennis Hawk Current: 8/1/ S. Commercial Street Expires: 7/31/05 Frank Bellaire Neenah, WI (920)

198 Page 198 of ified Provider Address, Contact, Phone Thedacare Behavioral Health at Theda Clark Medical Center Vicky Wenzel 130 Second Street Neenah, WI (920) Initial ification: 3/1/83 Current: 2/1/03 Expires: 1/31/05 County / State: Winnebago Frank Bellaire Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed HFS Inpatient Detox CSAS-Day Treatment HFS Winnebago County Department of Human Services Keith Laux 211 N. Commercial Street Neenah, WI (920) Initial ification: 7/1/88 Current: 11/1/02 Expires: 10/31/04 County / State: Winnebago Frank Bellaire 2278 Winnebago County Department of Human Services CSP Keith Laux 211 N. Commercial Street Neenah, WI (920) Initial ification: 11/1/00 Current: 11/1/02 Expires: 10/31/04 County / State: Winnebago Mental Health-Community Support Program Frank Bellaire HFS Catholic Charities Diocese of Green Bay, Inc. Karen Johnston 36 Broad Street, #200 Oshkosh, WI (920) Catholic Social Services of The Diocese of Green Bay 364 S. Cambridge Wautoma WI Initial ification: 7/9/97 Current: 2/11/03 Expires: 7/31/04 County / State: Winnebago Frank Bellaire 1223 Community Counseling Services R.L. Helm 2351 Ryf Road Oshkosh, WI (920) Initial ification: 3/31/93 Current: 4/1/03 County / State: Winnebago Expires: 3/31/05 Frank Bellaire

199 Page 199 of ified Provider Address, Contact, Phone Educare Learning Center Robert Schedgick 1950 Venture Drive Oshkosh, WI (920) Initial ification: 10/1/87 Current: 10/1/02 Expires: 9/30/04 County / State: Winnebago Frank Bellaire 1601 Mental Health Consultants Ralph Baker 303 Pearl Avenue, #C Oshkosh, WI (920) (920) Initial ification: 5/1/80 Current: 6/1/04 Expires: 5/31/06 County / State: Winnebago Frank Bellaire 1608 Mercy Medical Center Ric Compton 500 S. Oakwood Road Oshkosh, WI (920) Initial ification: 2/1/82 Current: 9/1/04 Expires: 8/31/06 County / State: Winnebago Frank Bellaire Mental Health-Day Treatment HFS Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Detox HFS Mercy Counseling Services Ric Compton 515 S. Washburn Street, #104 Oshkosh, WI (920) Initial ification: 2/1/95 Current: 9/1/02 Expires: 8/31/04 County / State: Winnebago Frank Bellaire 1671 Lutheran Social Services/Nexus David Steele 2002 W. Algoma Boulevard Oshkosh, WI (920) Initial ification: 1/27/92 Current: 1/1/01 County / State: Winnebago Expires: 12/31/01 Frank Bellaire CSAS-Transitional Residential HFS Nova Counseling Services, Inc Marcia Larson 111 Josslyn Street Oshkosh, WI (920) (608) Initial ification: 11/1/85 Current: 5/1/04 County / State: Winnebago Expires: 4/30/06 Frank Bellaire CSAS-Medically Monitored HFS Treatment CSAS-Transitional Residential HFS 75.14

200 Page 200 of ified Provider Address, Contact, Phone Oshkosh Counseling Center, Inc. Rachelle Laux 501 Merritt Avenue Oshkosh, WI (920) Initial ification: 9/1/85 Current: 12/1/02 Expires: 11/30/04 County / State: Winnebago Frank Bellaire 1829 Reach Counseling Services Marie Nesemann 36 Broad Street, #220 Oshkosh, WI (920) Initial ification: 1/11/93 Current: 1/1/03 County / State: Winnebago Expires: 12/31/04 Frank Bellaire 1948 Thedacare Behavioral Health John Kemp 2935 Universal Court Oshkosh, WI (920) Initial ification: 1/10/94 Current: 1/1/04 County / State: Winnebago Expires: 12/31/05 Frank Bellaire CSAS-Day Treatment HFS Winnebago County Department of Human Services Mark Quam 220 Washington Avenue Oshkosh, WI (920) Initial ification: 10/1/75 Current: 11/1/02 County / State: Winnebago Expires: 10/31/04 Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Prevention HFS CSAS-Emergency Outpatient HFS Winnebago County Department of Human Services CSP Keith Laux 220 Washington Avenue Oshkosh, WI (920) Initial ification: 10/1/75 Current: 11/1/02 Expires: 10/31/04 County / State: Winnebago Mental Health-Community Support Program Frank Bellaire HFS 63

201 Page 201 of ified Provider Address, Contact, Phone Winnebago Mental Health Institute Joann O'Connor Treffert Drive and Butler Avenue Winnebago, WI (920) Initial ification: 10/1/75 Current: 11/1/03 Expires: 10/31/05 County / State: Winnebago Mental Health-Adolescent HFS Inpatient Mental Health-Inpatient HFS CSAS-Medically Managed Inpatient Treatment CSAS-Medically Monitored Treatment Frank Bellaire HFS HFS Children's Service Society of Wisconsin Rhonda Ackerman 503 South Cherry, #2 Marshfield, WI (715) Initial ification: 7/1/96 Current: 7/1/03 Expires: 6/30/05 County / State: Wood Steven Ojibway Marshfield Clinic Department of Psychiatry and Behavioral Health Suanne Reed 1000 N. Oak Avenue Marshfield, WI (715) (715) Marshfield Clinic - Mosinee Center 501 Orbiting Drive Mosinee WI St. Joseph's Hospital Alcohol and Drug Recovery Services Sheila Weix 611 St. Joseph's Avenue Marshfield, WI (715) Initial ification: 12/1/82 Current: 12/1/03 County / State: Wood Expires: 11/30/05 Steven Ojibway Mental Health-Day Treatment HFS Initial ification: 12/2/94 Current: 12/1/01 County / State: Wood Expires: 11/30/03 Steven Ojibway CSAS-Medically Managed HFS Inpatient Detox CSAS-Medically Managed HFS Inpatient Treatment CSAS-Medically Monitored HFS Treatment CSAS-Day Treatment HFS Norwood Health Center Administrator 1600 N. Chestnut Avenue Marshfield, WI (715) Initial ification: 4/1/80 Current: 2/1/03 Expires: 1/31/05 County / State: Wood Steven Ojibway Mental Health-Inpatient HFS CSAS-Medically Monitored Residential Detox HFS 75.07

202 Page 202 of 203 ified Provider Address, Contact, Phone 1863 St. Joseph's Hospital Initial ification: 1/9/91 County / State: Wood Christine Maghrah-Sherve Current: 1/1/ St. Joseph's Avenue Expires: 12/31/04 Steven Ojibway Marshfield, WI (715) (715) Mental Health-Inpatient HFS St. Vincent de Paul Counseling Center Walter Kolonick 149 North Central Marshfield, WI (715) Initial ification: 2/18/97 Current: 3/1/03 County / State: Wood Expires: 2/29/04 Steven Ojibway 1412 Ho-Chunk Nation Alcohol/Drug Program Services Initial ification: 5/1/92 County / State: Wood Terry LittleWolf Current: 1/1/04 Region: NORTHERN 916 Chahk-Hah-Chee Lane Expires: 10/31/05 K. L. Polly Wong Nekoosa, WI (715) (715) Ministry Behavioral Health Initial ification: 5/1/91 Joanne Griffin Current: 7/1/ Prentice Street North Expires: 6/30/05 Stevens Point, WI (715) (715) Ministry Behavioral Health Riverview West Medical Building 400 Dewey St., 2nd Flr. Wisconsin Rapids WI County / State: Wood Steven Ojibway CSAS-Prevention HFS CSAS-Day Treatment HFS Children's Service Society of Wisconsin Initial ification: 7/1/96 County / State: Wood Dan Horgan Current: 7/1/ Washington Street Expires: 6/30/05 Steven Ojibway Wisconsin Rapids, WI (715) Clinical Services Michael Nelson 420-1st Avenue South Wisconsin Rapids, WI (715) (715) Initial ification: 10/1/88 Current: 10/1/03 County / State: Wood Expires: 9/30/05 Steven Ojibway 1618 Meta Associates, Inc. Initial ification: 4/1/91 County / State: Wood Linda Buchs-Hammonds Current: 4/1/ th Street South, #204 Expires: 3/31/06 Steven Ojibway Wisconsin Rapids, WI (715)

203 Page 203 of ified Provider Address, Contact, Phone Riverview Hospital Association Celeste Neuman Zurfluh 410 Dewey Street Wisconsin Rapids, WI (715) Initial ification: 7/1/86 Current: 7/1/02 Expires: 6/30/04 County / State: Wood CSAS-Medically Managed Inpatient Detox Steven Ojibway HFS Wood County Unified Services David Bast th Street South Wisconsin Rapids, WI (715) (715) Initial ification: 8/1/77 Current: 7/1/04 Expires: 6/30/06 County / State: Wood Steven Ojibway Mental Health-Emergency HFS 34.2 Service 2 CSAS-Emergency Outpatient HFS CSAS-Day Treatment HFS Northwest Counseling and Guidance Clinic Wisconsin Rapids Day Treatment Victor Michalek 1140 N. Second Street, N. Wisconsin Rapids, WI (715) (715) Initial ification: 2/12/01 Current: 4/1/03 Expires: 3/31/05 County / State: Wood Mental Health-Day Treatment for Children 1 Steven Ojibway HFS 40.11(2)(a) 2293 Central Wisconsin Counseling Associates Anne Soe th Street South, #8 Wisconsin Rapids, WI (715) River Cities High School 680 W. Grand Avenue Wisconsin Rapids WI Initial ification: 1/1/01 Current: 1/1/03 Expires: 12/31/04 County / State: Wood Steven Ojibway 2352 Behrend Psychology Consultants Rebecca Behrend 1210 Parkwood Drive, #B Wisconsin Rapids, WI (715) (715) Initial ification: 3/1/02 Current: 3/1/03 Expires: 2/28/05 County / State: Wood Steven Ojibway