COMMUNITY SUBSTANCE ABUSE AND MENTAL HEALTH PROGRAM CERTIFICATION DIRECTORY

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: 9/1/03 206-6th Avenue West, #213 Expires: 8/31/04 Steven Ojibway Ashland, WI 54806 (715) 682-5207 CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 1664 New Horizons North-Community Support Program Linda Jorgenson 511-1/2 W. Main Street Ashland, WI 54806 (715) 682-7171 (715) 682-7176 Initial ification: 5/13/91 Current: 12/1/03 Expires: 11/30/05 County / State: Ashland Mental Health-Community Support Program Steven Ojibway HFS 63 2094 Karla M. Braski, MSSW Initial ification: 1/6/99 County / State: Ashland Karla Braski Current: 1/1/02 310 Stuntz Avenue, #209 Expires: 12/31/04 Steven Ojibway Ashland, WI 54806 (715) 682-2007 2153 Northwest Counseling & Guidance Clinic- Ashland Day Treatment Jill Chaffee 630 Sandborne Avenue Ashland, WI 54806 (715) 682-4085 (715) 327-8509 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)

Page 2 of 203 2154 ified Provider Address, Contact, Phone Behavioral Health Services of Memorial Medical Center Tom McMullin 1635 Maple Lane Ashland, WI 54806 (715) 685-5400 Ashland County Jail 221-7th Street, East Ashland WI 54806 (715) 685-5101 Ashland Court Manor Nursing Home 911-3rd Street, West Ashland WI 54806 Ashland Health & Rehabilitation Center 1319 Beaser Avenue Ashland WI 54806 Bayfield County Jail 117 E. 6th Street Washburn WI 54891 Mellen Manor 450 Lake Drive Mellen WI 54546 Initial ification: 10/1/99 Current: 10/1/03 Expires: 9/30/05 County / State: Ashland Steven Ojibway Mental Health-Day Treatment HFS 61.75 Mental Health-Emergency HFS 34.2 Service 2 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Day Treatment HFS 75.12 2375 Barron-Washburn Community Support Program Bradley Jahr 1443 E. Division Street Barron, WI 54812 (715) 537-3132 (715) 537-6363 Initial ification: 3/26/02 Current: 5/1/03 Expires: 4/30/05 County / State: Barron Mental Health-Community Support Program Roderic Senn HFS 63 1706 Northwest Regional Center Behavioral Health Clinic (Div of Cumberland Mem) Bruce Jungerberg 1150-6th Avenue Cumberland, WI 54829 (715) 822-6169 (715) 822-6248 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 1110-7th Avenue Cumberland, WI 54829 (715) 822-6135 Initial ification: 4/1/77 Current: 8/1/03 Expires: 7/31/05 County / State: Barron Roderic Senn Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06

Page 3 of 203 1004 ified Provider Address, Contact, Phone ABR Counseling Services Kathy Rudd 12 W. Marshall Street, #100 Rice Lake, WI 54868 (715) 234-3301 (715) 736-7753 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 54868 (715) 234-4313 (715) 236-7535 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 54868 (715) 236-2827 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 54868 (715) 236-8100 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 88385 Pike Road, Hwy 13 Bayfield, WI 54814 (715) 779-3741 (715) 779-3765 Initial ification: 11/1/83 Current: 10/1/03 County / State: Bayfield Expires: 9/30/05 Steven Ojibway CSAS-Medically Monitored HFS 75.11 Treatment 1783 Red Cliff Mental Health Program Jacob Geisler 88455 Pike Road Bayfield, WI 54814 (715) 779-3707 Initial ification: 11/1/83 Current: 10/1/03 County / State: Bayfield Expires: 9/30/05 Steven Ojibway

Page 4 of 203 ified Provider Address, Contact, Phone 1080 Bay Area Mental Health Center Barbara Snyder 101 Thompson Road Washburn, WI 54891 (715) 373-2233 Bay Area Mental Health Center (715) 373-5530 206-6th Avenue West, 2nd Floor Ashland WI 54806 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: 12/1/03 100 W. Bayfield Street Expires: 11/30/05 Steven Ojibway Washburn, WI 54891 (715) 373-5505 (715) 682-7176 Mental Health-Community Support Program HFS 63 2044 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 54891 (715) 373-0480 (715) 373-0480 2361 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 54891 (715) 373-0160 (715) 373-0162 2487 Quality Addiction Management - QAM Charles Engel 2979 Allied Street, Unit C Ashwaubenon, WI 543045505 (920) 983-6600 (262) 549-6698 Initial ification: 10/20/03 Current: 10/20/03 County / State: Brown Expires: 10/31/04 Frank Bellaire CSAS-Narcotic Treatment HFS 75.15 1301 Employee Resource Center, Inc. Initial ification: 7/1/89 County / State: Brown William Laakso Current: 8/1/02 1511 W. Main Avenue, #100 Expires: 7/31/04 Frank Bellaire DePere, WI 54115 (920) 403-7600

Page 5 of 203 ified Provider Address, Contact, Phone 1958 Pathmakers, Inc. Initial ification: 5/26/92 County / State: Brown James Cody Current: 2/21/03 1861 Nemitz Drive Expires: 5/31/04 Frank Bellaire DePere, WI 54115 (920) 336-0493 2284 Bellin Behavioral Health - DePere Stacie Herzog 1800 Lawrence Drive DePere, WI 54115 (920) 983-3220 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 54115 (920) 338-6830 (920) 437-0533 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: 4/1/04 1141 W. Main Street Expires: 3/31/05 Frank Bellaire DePere, WI 54115 (920) 338-1610 1035 American Foundation of Counseling Services, Inc. Initial ification: 4/1/81 County / State: Brown Robert Johnson Current: 5/1/04 130 E. Walnut Street, #706 Expires: 4/30/06 Frank Bellaire Green Bay, WI 54301 (920) 437-8256 1082 Bay Shore Counseling Network, Inc. Mari Martin 2345 E. Mason Street Green Bay, WI 54302 (920) 469-8890 (920) 406-3909 Bay Shore Counseling Network, Inc. 1821 Hall Avenue Marinette WI 54143 Initial ification: 10/21/96 Current: 11/1/03 County / State: Brown Expires: 10/31/05 Frank Bellaire

Page 6 of 203 1098 ified Provider Address, Contact, Phone Bellin Psychiatric Center Stacie Herzog 301 E. St. Joseph Street Green Bay, WI 543012241 (920) 433-6073 Bellin Psychiatric Center 575-4th Street Kewaunee WI 54216 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 3 40.11(2)(c) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1116 Brown County Human Services Tammy Snortum 111 N. Jefferson Street Green Bay, WI 543015025 (920) 448-6000 (920) 448-4425 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 3 1117 Brown County Mental Health Center Earlene Ronk 2900 St. Anthony Drive Green Bay, WI 54311 (920) 391-4700 Initial ification: 10/1/75 Current: 4/1/03 Expires: 3/31/05 County / State: Brown Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox Frank Bellaire HFS 75.06 1140 Catholic Charities Diocese of Green Bay, Inc. Karen Johnston 1825 Riverside Drive Green Bay, WI 54305 (920) 437-7531 Initial ification: 1/1/88 Catholic Social Services of the Diocese of Green Bay, Inc. 345 S. 18th Avenue Sturgeon Bay WI 54235 Current: 2/1/03 Expires: 1/31/05 County / State: Brown Frank Bellaire

Page 7 of 203 1269 ified Provider Address, Contact, Phone N.E.W. Curative Rehabilitation, Inc. John Bloor 2900 Curry Lane Green Bay, WI 54308 (920) 468-1161 (920) 468-7851 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 54301 (920) 436-6800 (920) 432-5966 Family Services of Northeast Wisconsin, Inc. 3430 Spirit Way Green Bay WI 54304 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 54301 (920) 433-3372 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 54301 (414) 437-7878 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 543014999 (920) 435-2093 Jackie Nitschke Center, Inc. 700 N. Pine Street Green Bay WI 54301 Initial ification: 6/5/90 Current: 1/1/03 Expires: 12/31/04 County / State: Brown Frank Bellaire CSAS-Medically Monitored HFS 75.11 Treatment

Page 8 of 203 1454 ified Provider Address, Contact, Phone Ka'Ni Kuhli'Yo Family Center Ali Mardan 2640 West Point Road Green Bay, WI 54313 (920) 490-3700 Initial ification: 3/11/93 Current: 2/1/03 Expires: 1/31/05 County / State: Brown Frank Bellaire CSAS-Day Treatment HFS 75.12 1458 Kathleen Bahler & Associates Kathleen Bahler 315 S. Jefferson Street Green Bay, WI 54301 (920) 435-1188 (920) 435-0276 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 543033282 (920) 498-8600 Initial ification: 9/1/86 Current: 4/1/03 Expires: 3/31/05 County / State: Brown Frank Bellaire CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment 1564 Marriage and Family Therapy Center Gerald Wellens 735 E. Walnut Street Green Bay, WI 54301 (920) 432-8777 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 54304 (920) 497-6200 (920) 497-3135 New Wellness Associates, Inc. 2420 Crooks Avenue Kaukauna WI 54130 Initial ification: 6/1/93 Current: 6/1/04 Expires: 5/31/06 County / State: Brown Frank Bellaire

Page 9 of 203 ified Provider Address, Contact, Phone 1743 Prevea Clinic Behavioral Care Linda Schwallie 1543 Park Place Green Bay, WI 54304 (920) 429-1572 Prevea Clinic Behavioral Care 958 Foote Street Seymour WI 54165 Prevea Clinic Behavioral Care 101 School Creek Trail Luxemburg WI 54217 Prevea Clinic Behavioral Care 940 Augustine Street Pulaski WI 54162 Prevea Clinic Behavioral Care W3 972 Columbia Avenue Kaukauna WI 54130 Prevea Clinic Behavioral Care 1715 Dousman Street Green Bay WI 54303 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: 7/22/02 635 Pine Street Expires: 8/31/02 Frank Bellaire Green Bay, WI 54301 (920) 432-6400 1800 Riverside Counseling, LLC Carole St. Laurent 1575 E. Allouez Avenue Green Bay, WI 54311 (920) 469-1155 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 54307 (920) 433-0111 St. Vincent Hospital 2100 Riverside Drive Green Bay WI 54301 Initial ification: 11/15/96 Current: 12/1/02 County / State: Brown Expires: 11/30/04 Frank Bellaire

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: 6/1/03 1620 S. Ashland Avenue, #104 Expires: 5/31/05 Frank Bellaire Green Bay, WI 54304 (920) 432-5002 (920) 432-2760 1895 Synergy Counseling Services Initial ification: 6/7/93 County / State: Brown Neil Van Rossum Current: 6/1/04 444 S. Adams Street, #6 Expires: 5/31/06 Frank Bellaire Green Bay, WI 54301 (920) 436-7575 1923 Renaissance Counseling Center Initial ification: 6/8/93 County / State: Brown Patricia Peterson-Bilotto Current: 6/1/04 1640 Main Street Expires: 5/31/06 Frank Bellaire Green Bay, WI 54302 (920) 465-8230 (920) 465-8241 1965 Villa Hope Community Support Program of Brown County Initial ification: 2/6/96 County / State: Brown Nancy Austin Current: 3/1/04 1100 Guns Road Expires: 2/28/06 Frank Bellaire Green Bay, WI 54311 (920) 469-7030 Mental Health-Community Support Program HFS 63 2088 Bonnie M. Lee & Associates Bonnie Lee 112 S. Broadway Street, #B Green Bay, WI 54303 (920) 438-7383 (920) 438-7384 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 54303 (920) 884-1084 2160 Northwest Counseling and Guidance Clinic Green Bay Day Treatment Program Jill Chaffee 123 S. Van Buren Street Green Bay, WI 54301 (920) 437-4024 - 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)

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: 2/1/04 1039 W. Mason Street Expires: 1/31/06 Frank Bellaire Green Bay, WI 54303 (920) 884-1083 2241 Bellin Psychiatric Center Behavioral Health Clinic Ashwaubenon Stacie Herzog 1630 Commanche Avenue Green Bay, WI 54313 (920) 430-4700 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 54311 (920) 469-1155 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 543045228 (920) 497-0788 - 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 54313 (920) 497-6161 2313 Independent Assessment & Counseling Services Kenneth Sann 130 E. Walnut Street, #406 Green Bay, WI 54301 (920) 438-8141 Initial ification: 6/22/01 Current: 7/1/04 County / State: Brown Expires: 6/30/06 Frank Bellaire

Page 12 of 203 2327 ified Provider Address, Contact, Phone Oneida Adolescent Treatment Center Dave Rynearson 2640 West Point Road Green Bay, WI 54313 (920) 490-3868 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 1 40.11(2)(a) CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 2343 Laurie Ferguson & Associates Laurie Ferguson 130 E. Walnut Street, #410 Green Bay, WI 54301 (920) 437-7884 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 54301 (920) 448-4445 (920) 448-4444 Initial ification: 6/27/02 Current: 9/1/03 Expires: 8/31/05 County / State: Brown Mental Health-Community Support Program Frank Bellaire HFS 63 2394 Tomahawk Counseling Center Jean Lemanski 2129 S. Oneida Street Green Bay, WI 54304 (920) 490-4304 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 54311 (920) 469-5240 (920) 469-5249 Clarity Care Behavioral Health 424 Washington Avenue Oshkosh WI 54901 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 54301 (920) 437-3854 (920) 437-7488 Initial ification: 6/9/03 Current: 6/1/04 Expires: 5/31/05 County / State: Brown Frank Bellaire

Page 13 of 203 ified Provider Address, Contact, Phone 2465 Karen Pleshe, MSW, LCSW Karen Pleshe 1039 W. Mason Street Green Bay, WI 54303 (920) 884-1145 (920) 496-7922 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 54303 (920) 884-1144 (920) 496-7922 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 54313 (920) 497-2379 (920) 437-3095 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 54301 (920) 884-1997 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 543031842 (920) 884-1154 (920) 496-7922 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 54162 (920) 822-1867 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: 5/1/04 250 Buffalo Street Expires: 4/30/06 K. L. Polly Wong Mondovi, WI 54755 (715) 926-5886 Mental Health-Day Treatment for Children 1 HFS 40.11(2)(a)

Page 14 of 203 2217 ified Provider Address, Contact, Phone St. Croix Tribal Mental Health/AODA Clinic John Seppanen Angeline Avenue & Hwy. 70 Hertel, WI 54845 (715) 349-2195 Round Lake Clinic 2230-60th Avenue Luck WI 54853 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 54872 (715) 349-2829 Initial ification: 8/25/99 Current: 5/1/04 Expires: 4/30/06 County / State: Burnett Mental Health-Community Support Program Roderic Senn HFS 63 2254 Northwest Counseling and Guidance Clinic Tim Newlin 7670 Johnson Street Siren, WI 54872 (715) 349-2829 Amery Day Treatment 1096 Apple Avenue Amery WI 54001 Amery Regional Medical Center 225 Scholl Court Amery WI 54001 Burnett County Center 7410 County Road K, #130 Siren WI 54872 Northwest Counseling and Guidance Clinic 203 United Way Drive Frederic WI 54873 Northwest Counseling and Guidance Clinic 107 Oak Street Frederic WI 54837 Northwest Day Treatment 413 S. Main Street Rice Lake WI 53868 Northwest Passage I Moline Road P.O. Box 349 Webster WI 54893 Northwest Passage II 1161 Hamms Road Spooner WI 54801 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

Page 15 of 203 2418 ified Provider Address, Contact, Phone Counseling Associates Inc - Siren Cindy Klein 24996 State Rd 35 N Siren, WI 54872 (715) 349-8575 (715) 483-3544 Counseling Associates, Inc. - Siren 11 Fifth Avenue Shell Lake WI 54871 Counseling Associates, Inc. - Siren 107 W Oak Street Frederic WI 54837 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 53014 (920) 849-1400 Calumet County Department of Human Services 2306 S. Oneida Street Appleton WI 54136 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 75.05 2244 Calumet County Department of Human Services CSP Mary Kennedy 206 Court Street Chilton, WI 53014 (920) 849-1400 Initial ification: 7/1/00 Current: 7/1/04 Expires: 6/30/06 County / State: Calumet Mental Health-Community Support Program Frank Bellaire HFS 63 2304 Nelson Family Clinic, LLC Fran Nelson 308 W. Main Street Hilbert, WI 54129 (920) 853-3444 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 54729 (715) 726-7887 (715) 726-7887 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

Page 16 of 203 1196 ified Provider Address, Contact, Phone Chippewa County Guidance Clinic Nancy Peloquin 711 N. Bridge Street, #122 Chippewa Falls, WI 547291877 (715) 726-7788 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 2 1242 Council on Alcohol & Other Drug Abuse, Inc. Betty Kleemeier 404-1/2 N. Bridge Street Chippewa Falls, WI 54729 (715) 723-1101 Initial ification: 4/1/77 Current: 2/1/03 Expires: 1/31/05 County / State: Chippewa K. L. Polly Wong CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 1475 L.E. Phillips Libertas Center Shawna Kovach 2661 County Trunk I Chippewa Falls, WI 54729 (715) 723-5585 (715) 726-3504 Initial ification: 10/1/77 Current: 8/1/04 County / State: Chippewa Expires: 10/31/04 K. L. Polly Wong CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment 1569 Marshfield Clinic - Chippewa Center Kathy Ertz 2029 County Highway I Chippewa Falls, WI 54729 (715) 720-9988 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 54729 (715) 723-8468 Initial ification: 4/13/94 Current: 12/1/03 County / State: Chippewa Expires: 11/30/04 K. L. Polly Wong CSAS-Transitional Residential HFS 75.14 2424 Marriage and Family Health Services, Ltd. Thomas Johnston 405 Island Street Chippewa Falls, WI 54729 (715) 726-9208 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)

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: 9/1/03 224 S. Broadway Expires: 8/31/05 K. L. Polly Wong Stanley, WI 54768 (715) 644-4357 (715) 644-5053 1201 Clark County Community Services Initial ification: 1/1/84 County / State: Clark Brent Shoup Current: 1/1/04 517 Court Street, Room 503 Expires: 12/31/04 K. L. Polly Wong Neillsville, WI 54456 (715) 743-5208 Clark County Health Care Center W4266 State Hwy 29 Owen WI 54460 1202 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 54460 (715) 229-2172 Mental Health-Community Support Program HFS 63 1066 Aspen Family Counseling Initial ification: 1/1/97 County / State: Columbia Barry Erath Current: 4/1/04 625 East Slifer Street, #2 Expires: 12/31/05 Portage, WI 53901 (608) 742-5020 (608) 742-3641 1212 Columbia County Community Support Program Pamela Polzer 2901 Hunters Trail Portage, WI 53901 (608) 742-5344 Initial ification: 12/1/97 Current: 12/1/03 Expires: 11/30/05 County / State: Columbia Mental Health-Community Support Program HFS 63 1281 Divine Savior Hospital Initial ification: 6/1/86 County / State: Columbia Jan Bauman Current: 6/1/03 1015 W. Pleasant Street Expires: 5/31/05 Portage, WI 53901 (608) 742-4131 CSAS-Medically Managed Inpatient Detox HFS 75.06

Page 18 of 203 2149 ified Provider Address, Contact, Phone Pauquette Ctr for Psychological Services (Community Service Assoc, SC) Douglas Varvil-Weld 2901 Hunters Trail Portage, WI 53901 (608) 742-5518 (608) 742-4087 Community Services Associates, SC 1511 Park Avenue Columbus WI 53905 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 75.05 CSAS-Day Treatment HFS 75.12 1741 Poynette Counseling & Psychotherapy Associates, Inc. Velma Haag 415 N. Main Street, #3 Poynette, WI 53955 (608) 635-2146 (608) 635-7379 Poynette Counseling & Psychotherapy Associates, Inc. 4915 Monona Drive Madison WI 53716 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 53821 (608) 326-0248 Initial ification: 10/1/75 Current: 4/1/04 County / State: Crawford Expires: 3/31/06 Mental Health-Emergency HFS 34.2 Service 2 1369 Franciscan-Skemp Healthcare Villa Succes Edith Bloxham 121 S. Prairie Street Prairie du Chien, WI 53821 (608) 326-8424 (608) 326-8638 Initial ification: 1/1/87 Current: 4/1/04 Expires: 3/31/06 County / State: Crawford CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 CSAS-Residential Intoxication HFS 75.09 Monitoring CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14

Page 19 of 203 2281 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 53821 (608) 326-2815 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 53821 (608) 326-0248 (608) 326-4395 Initial ification: 5/1/02 Current: 5/1/03 Expires: 4/30/05 County / State: Crawford Mental Health-Community Support Program HFS 63 2500 Wyalusing Academy Outpatient Clinic Gerald Boehm 601 S. Beaumont Road Prairie du Chien, WI 53821 (608) 326-6481 (608) 326-6166 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 53508 (608) 424-3384 (608) 424-6353 Initial ification: 7/1/94 Current: 8/1/04 Expires: 6/30/06 2508 Foundations Counseling Center, LLC Alisa Kelly-Martina 619 River Street, #F Belleville, WI 53508 (608) 424-9100 (608) 424-9099 Initial ification: 4/1/04 Current: 4/1/04 Expires: 3/31/05 1122 Cambridge Counseling Clinic, Inc. Deborah Sullivan 120 E. Main Street Cambridge, WI 53523 (608) 423-4700 (608) 423-7751 Initial ification: 1/1/88 Current: 4/1/04 Expires: 12/31/05

Page 20 of 203 1013 ified Provider Address, Contact, Phone Meriter Hospital, Inc. Addiction Medicine Robert Gore 202 S. Park Street Madison, WI 53715 (608) 258-3283 (608) 267-5334 Initial ification: 1/1/84 Current: 1/1/03 Expires: 12/31/04 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox CSAS-Medically Managed Inpatient Treatment CSAS-Medically Monitored Treatment HFS 75.06 HFS 75.10 HFS 75.11 1016 Advanced Psychological Innovations, S.C. Nina Bartell 6418 Normandy Lane, #215 Madison, WI 53719 (608) 274-1900 Initial ification: 2/2/98 Current: 2/1/04 Expires: 1/31/06 1051 Arboretum Counseling Center For Psychotherapy & Sex Therapy Cara Hoffert 921 Chapel Hill Road Madison, WI 53711 (608) 276-0111 Initial ification: 11/1/83 Current: 11/1/03 Expires: 10/31/05 1053 ARC Community Services, Inc. Madison Robyn Saviano 1409 Emil Street, #100 Madison, WI 53713 (608) 283-6426 (608) 278-2313 Initial ification: 3/1/95 Current: 3/1/04 Expires: 2/28/05 CSAS-Day Treatment HFS 75.12 1054 Arc House Celesta Miller 202 N. Patterson Street Madison, WI 53703 (608) 283-6430 (908) 278-2313 Initial ification: 12/1/90 Current: 12/1/03 Expires: 11/30/05 CSAS-Transitional Residential HFS 75.14 1065 Aspen Counseling Services, LLC Selma Herbst 7818 Big Sky Drive, #109A Madison, WI 53719 (608) 831-2122 Initial ification: 6/1/90 Current: 4/28/04 Expires: 6/30/05

Page 21 of 203 ified Provider Address, Contact, Phone 1074 Associates - Penny Landvogt, Ph.D. Penny Landvogt 6402 Odana Road Madison, WI 53719 (608) 578-0015 Associates - Penny Landvogt, Ph.D. 239 E. Russell Road Janesville WI 53545 Initial ification: 11/1/95 Current: 5/1/03 Expires: 10/31/03 1076 Attic Correctional Services, Inc. ACS Clinical Services Tiffany Walker 1709 S. Park Street, #1 Madison, WI 53713 (608) 255-0307 (608) 255-4005 Attic Correctional Services, Inc. ACS Clinical Services 107 Fourth Street Baraboo WI 53913 Initial ification: 4/1/95 Current: 4/1/03 Expires: 3/31/05 CSAS-Day Treatment HFS 75.12 1106 Birch Springs Center Initial ification: 1/1/89 Jackie Splitter Current: 1/1/03 6402 Odana Road Expires: 12/31/04 Madison, WI 53719 (608) 273-4411 1125 Capitol Associates, LLC, Inc. Jhona Gerash 440 Science Drive, #200 Madison, WI 53711 (608) 238-5176 (608) 256-0349 Initial ification: 11/1/79 Current: 11/1/02 Expires: 10/31/04 1137 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 53703 (608) 256-2358 (608) 256-2350 Catholic Charities, Inc., Sun Prairie Office 221 Columbus Street Sun Prairie WI 53590 1147 The Center For Christian Counseling, Consultation, and Training Initial ification: 3/1/82 Kevin Randall Current: 3/1/04 5310 Wall Street, #500 Expires: 2/28/06 Madison, WI 53718 (608) 274-8294 (608) 274-8783

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 537035103 (608) 255-0100 1149 Center For Counseling and Health Initial ification: 9/1/95 Beverly Wolfgram Current: 9/2/03 725 Heartland Trail, #203 Expires: 9/30/04 Madison, WI 53717 (608) 833-3301 Center For Counseling and Health 239 E. Russell Road Janesville WI 53545 1155 Center For Life & Loss Integration Initial ification: 3/1/95 Judith Koeppl Current: 3/1/03 4123 Monona Drive Expires: 2/28/05 Madison, WI 53716 (608) 258-7771 (608) 832-6486 1157 Center Point Initial ification: 9/1/97 Sharon Hale Current: 11/1/02 1920 Monroe Street Expires: 10/31/04 Madison, WI 53711 (608) 283-4199 (608) 251-3930 1174 Child & Family Psychological Services Clinic Initial ification: 7/1/82 Nira Sherz-Busch Current: 7/1/04 437 S. Yellowstone Dr., #218 Expires: 8/31/04 Madison, WI 537191096 (608) 288-1882 1188 Children's Service Society of Wisconsin Initial ification: 3/1/81 Lon Piper Current: 3/1/03 2800 Royal Avenue, #310 Expires: 2/28/05 Madison, WI 53713 (608) 221-3511 (608) 221-3514 Children's Service Society of Wisconsin 748 Lois Drive Sun Prairie WI 53590

Page 23 of 203 1222 ified Provider Address, Contact, Phone Community Counseling Center of Madison Sharon Barger 7818 Big Sky Drive, #208 Madison, WI 53719 (608) 833-5880 Initial ification: 1/1/88 Current: 1/1/04 Expires: 12/31/04 1247 Counseling & Psychotherapy Services Bob Smith 2709 Marshall Court Madison, WI 53705 (608) 231-3191 Initial ification: 12/1/87 Current: 12/1/03 Expires: 11/30/05 1251 Counseling Associates of Madison, S.C. Bernard Verrill 715 Hill Street, #140 Madison, WI 53705 (608) 233-3000 (608) 233-3834 Initial ification: 10/1/79 Current: 10/1/02 Expires: 9/30/04 1272 Dean Medical Center, Department of Psychiatry Julia Hay 1313 Fish Hatchery Road Madison, WI 53715 (608) 252-8226 (608) 283-7193 Initial ification: 2/1/84 Current: 5/1/04 Expires: 4/30/06 1327 Family Service Lisa Usgaard 128 E. Olin Avenue, #100 Madison, WI 53713 (608) 252-1320 Initial ification: 4/1/77 Current: 10/1/03 Expires: 9/30/05 Mental Health-Day Treatment for HFS Children 1 40.11(2)(a) 1344 Family Therapy Center of Madison, Inc. Bonnie Conway 700 Rayovac Drive, #220 Madison, WI 53711 (608) 276-9191 (608) 276-9144 Initial ification: 11/1/79 Current: 11/1/03 Expires: 9/30/05 1353 Four Lakes Psychological Services Beverly Hills 2044 Atwood Avenue, #204 (608) 245-0888 Initial ification: 5/1/94 Current: 6/1/04 Expires: 11/30/04

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 537116227 (608) 278-8200 (608) 278-8204 1393 Harmonia Madison Center for Psychotherapy James Powell 406 N. Pinckney Street Madison, WI 53703 (608) 255-8838 Harmonia - Madison Center for Psychotherapy 608 Water Street Prairie du Sac WI 53578 Initial ification: 11/1/81 Current: 11/1/03 Expires: 10/31/04 1410 Psychotherapy and Growth Center Tamara Schlessinger 740 Regent Street, #204 Madison, WI 53705 (608) 255-0669 (608) 255-0667 Initial ification: 11/1/90 Current: 11/1/03 Expires: 10/31/05 1418 Hope Haven, Inc. Initial ification: 2/1/82 Bruce Nicholas Current: 1/1/04 425 W. Johnson Street Expires: 12/31/04 Madison, WI 53703 (608) 251-8881 CSAS-Medically Monitored Treatment HFS 75.11 1433 Inner Essence Counseling Center Initial ification: 6/1/96 Kristine Gay Current: 7/1/04 6320 Monona Drive, #305 Expires: 5/31/06 Madison, WI 53716 (608) 222-2236 1444 Isthmus Psychotherapy & Psychiatry, LLP Initial ification: 9/1/96 Tamar Zick Current: 9/1/02 222 S. Bedford Street Expires: 8/31/04 Madison, WI 53703 (608) 256-6570 (608) 256-4551

Page 25 of 203 ified Provider Address, Contact, Phone 1493 Lake Monona Psychotherapy & Recovery Center Initial ification: 1/1/89 Sally Stevens Current: 1/1/04 900 John Nolen Drive, #100 Expires: 12/31/04 Madison, WI 53713 (608) 256-5030 1535 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 53719 (608) 277-0610 (608) 277-0448 LSS Counseling Clinic - Stoughton 1525 N. VanBuren Stoughton WI 53587 LSS Counseling Clinic - Sun Prairie 550 Lincoln Drive Sun Prairie WI 53590 1548 Madison Counseling Services Initial ification: 6/1/78 Bernard Cesnik Current: 4/1/03 1050 Regent Street, #204 Expires: 3/31/05 Madison, WI 53715 (608) 257-0800 1549 Madison Health Services Initial ification: 1/1/94 Mike Grassy Current: 1/1/04 3113 E. Washington Avenue Expires: 12/31/05 (608) 242-0220 CSAS-Narcotic Treatment HFS 75.15 1550 Madison Mental Health Services Initial ification: 4/1/81 James McGloin Current: 4/1/03 2700 Marshall Court, #1 Expires: 3/31/05 Madison, WI 53705 (608) 231-2008 (608) 231-2312 Madison Mental Health Services 715 Hill Street Madison WI 53705

Page 26 of 203 1551 ified Provider Address, Contact, Phone Madison Psychiatric Associates, Ltd. Ruth Ann Berkholtz 5534 Medical Circle Madison, WI 53719 (608) 274-0355 (608) 274-5546 Madison Psychiatric Associates, Ltd. 2114 N. Sherman Avenue Madison WI 53704 Initial ification: 4/1/78 Current: 2/1/04 Expires: 1/31/05 1552 1553 Madison Psychotherapy Associates Dick Russo 1414 E. Washington Avenue, #104 Madison, WI 53703 (608) 251-0839 Madison Psychotherapy Associates 6320 Monona Drive, #317 Madison WI 53716 Madison Psychotherapy Center Linda Petterson 2803 Marshall Court Madison, WI 53705 (608) 233-3037 (608) 233-5893 Initial ification: 10/1/79 Current: 10/1/03 Expires: 9/30/04 Initial ification: 11/1/93 Current: 10/1/02 Expires: 9/30/04 1584 Mendota Mental Health Institute Wendy LaBine 301 Troy Drive (608) 243-2500 Initial ification: 10/1/75 Current: 11/1/01 Expires: 10/31/03 Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Inpatient HFS 61.71 1590 Mental Health Associates of Madison, Inc. Judith Hermann 20 S. Park Street, Room 408 Madison, WI 53715 (608) 256-4848 Initial ification: 4/1/78 Current: 11/1/02 Expires: 10/31/03 1593 Mental Health Center of Dane Co., Inc. Community Treatment Alternatives CSP Dave DeLap 124 W. Mifflin Street Madison, WI 53703 (608) 255-7586 Initial ification: 2/1/92 Current: 5/1/04 Expires: 1/31/06 Mental Health-Community Support Program HFS 63

Page 27 of 203 1594 ified Provider Address, Contact, Phone UJIMA Counseling Services-Genesis Development Corporation (GDC) Richard Harris 313 W. Beltline Highway Madison, WI 53713 (608) 251-4888 Initial ification: 4/1/97 Current: 8/1/03 Expires: 7/31/04 1595 1596 Mental Health Center of Dane County Yahara House Gail Marker 802 E. Gorham Street Madison, WI 53703 (608) 280-4700 Mental Health Center of Dane County Linda Keys 625 W. Washington Avenue Madison, WI 53703 (608) 280-2700 (608) 280-2707 Mental Health Center of Dane County 755 Braxton Place Madison WI 53715 Mental Health Center of Dane County 333 W. Dayton Street Madison WI 53703 Initial ification: 10/1/75 Current: 4/1/04 Expires: 12/31/04 Mental Health-Day Treatment HFS 61.75 Initial ification: 10/1/75 Current: 3/1/04 Expires: 2/28/06 Mental Health-Emergency HFS 34.3 Service 3 1598 Mental Health Center of Dane County Cornerstone Community Support Program Corrinda Rainey-Moore 1960 Atwood Avenue (608) 246-2980 Initial ification: 9/1/90 Current: 12/1/03 Expires: 8/31/04 Mental Health-Community Support Program HFS 63 1599 Mental Health Center of Dane County Gateway CSP Brad Schlough 1020 Regent Street Madison, WI 53715 (608) 280-3150 Initial ification: 9/1/90 Current: 2/1/03 Expires: 1/31/05 Mental Health-Community Support Program HFS 63

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: 12/1/03 923 Williamson Street Expires: 11/30/04 Madison, WI 53703 (608) 255-5922 Mental Health-Community Support Program HFS 63 1603 Mental Health Resources Initial ification: 4/1/90 Susan Brown Current: 4/1/03 402 Gammon Place, #290 Expires: 3/31/05 Madison, WI 53719 (608) 833-9770 1605 Mental Health Services for Women and Families Initial ification: 2/1/83 Nancy Young Current: 3/1/03 715 Hill Street, #160 Expires: 2/28/05 Madison, WI 53705 (608) 256-0942 (608) 221-1143 1606 Mental Health Solutions, SC Initial ification: 1/1/95 John Helf Current: 1/1/04 7633 Ganser Way, #204 Expires: 12/31/05 Madison, WI 537192092 (608) 829-1800 1617 Meriter-New Start Outpatient Clinic West Initial ification: 1/1/88 Amy Mosher-Garvey Current: 1/1/03 1015 Gammon Lane Expires: 12/31/04 Madison, WI 53719 (608) 271-4144 (608) 271-3457 1623 Midwest Center For Human Services, LLP Initial ification: 8/1/83 James Gerndt Current: 8/1/02 2828 Marshall Court #210 Expires: 7/31/04 Madison, WI 53705 (608) 231-3300 (608) 231-0644 1625 Midwest Center for Psychotherapy and Sex Therapy Initial ification: 1/1/93 Jane James Current: 11/1/03 426 S. Yellowstone Drive, #226 Expires: 10/31/05 Madison, WI 53719 (608) 829-3880

Page 29 of 203 1668 ified Provider Address, Contact, Phone Meriter's Child & Adolescent Psychiatric Hospital Robert Gore 8001 Raymond Road Madison, WI 53719 (608) 267-5336 (608) 267-5334 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 61.79 1674 North Bay Lodge Bob Murray 3602 Memorial Drive (608) 249-2600 Initial ification: 2/1/84 Current: 3/1/03 Expires: 11/30/04 CSAS-Transitional Residential HFS 75.14 1685 NorthStar Counseling Center Steven R. Stein 700 Rayovac Drive, #010 Madison, WI 537116275 (608) 270-1960 (608) 270-1965 Initial ification: 11/1/91 Current: 7/1/04 Expires: 10/31/04 Mental Health-Day Treatment for HFS Children 1 40.11(2)(a) 1686 Northeast Family Medical Center Faith Lerner 3209 Dryden Drive (608) 241-9020 Initial ification: 9/1/90 Current: 9/1/02 Expires: 8/31/04 1750 Program for Assertive Community Treatment (PACT) Jana Lane Frey 108 S. Webster Street Madison, WI 53703 (608) 266-2567 Initial ification: 9/1/89 Current: 10/1/03 Expires: 9/30/05 Mental Health-Community Support Program HFS 63 1759 Psychiatric Services, S.C. Laurie Jacobson 2727 Marshall Court Madison, WI 53705 (608) 238-9354 (608) 268-7675 Initial ification: 5/1/77 Current: 5/1/04 Expires: 4/30/06

Page 30 of 203 1766 ified Provider Address, Contact, Phone Psychology Associates of Madison, LLP Elizabeth Lindner 122 E. Olin Avenue, #220 Madison, WI 537131482 (608) 255-9119 (608) 255-9219 Initial ification: 7/1/91 Current: 7/1/04 Expires: 6/30/06 1774 Hope Haven/Rebos United, Inc. - Chris Farley House Scott Forbes 810 W. Olin Avenue Madison, WI 53744 (608) 255-5922 Initial ification: 10/1/93 Current: 3/1/03 Expires: 11/30/04 CSAS-Transitional Residential HFS 75.14 1786 Regent Mental Health Group Thomas Moran 4510 Regent Street, #2A Madison, WI 53705 (608) 238-5826 Initial ification: 9/1/79 Current: 9/1/02 Expires: 8/31/04 1822 Samaritan Counseling Center of Southern Wisconsin Dan Feaster 2165 Linden Avenue (608) 663-0764 Initial ification: 9/1/94 Current: 8/1/03 Expires: 7/31/05 1826 Schwert AODA Treatment Center Vicki Trebian 3501 Kipling Drive (608) 249-6226 Initial ification: 7/1/92 Current: 7/1/03 Expires: 6/30/05 CSAS-Transitional Residential HFS 75.14 1872 St. Marys Hospital Medical Center Jackie McLean 707 S. Mills Street Madison, WI 537150450 (608) 251-6100 (608) 259-5317 Initial ification: 6/1/83 Current: 6/1/04 Expires: 5/31/06 Mental Health-Inpatient HFS 61.71 1900 Tellurian UCAN, Inc. Melody Music-Twilla 300 Femrite Drive Madison, WI 53716 (608) 222-7311 (608) 222-0453 Initial ification: 6/1/93 Current: 6/1/04 Expires: 5/31/06 CSAS-Medically Monitored HFS 75.11 Treatment

Page 31 of 203 1904 ified Provider Address, Contact, Phone Tellurian UCAN Melody Music-Twilla 2914 Industrial Drive Madison, WI 53713 (608) 222-7311 (608) 222-5904 Initial ification: 4/1/85 Current: 4/8/04 Expires: 10/31/05 CSAS-Medically Monitored HFS 75.07 Residential Detox CSAS-Day Treatment HFS 75.12 1913 The Grief Center-Hospice Care, Inc. Chris Rode 5395 E. Cheryl Parkway Madison, WI 53711 (608) 276-4660 Initial ification: 4/1/95 Current: 4/1/03 Expires: 3/31/05 1914 The Integral Psychology Center Arden Mahlberg 1619 Monroe Street Madison, WI 537112063 (608) 255-9330 (608) 255-7810 Initial ification: 5/1/79 Current: 6/1/04 Expires: 4/30/06 1916 Moontree Psychotherapy Center Kathryn Ripp 401 Wisconsin Avenue Madison, WI 53703 (608) 256-5115 (608) 256-5116 Initial ification: 5/1/88 Current: 6/1/04 Expires: 4/30/06 1918 The Psychology Center, S.C. Tim Schultz 6510 Grand Teton Plaza, #406 Madison, WI 53719 (608) 833-9290 (608) 833-9691 Initial ification: 1/1/89 Current: 12/1/03 Expires: 11/30/05 1919 The Psychology Clinic James Black, PhD 310 N. Midvale Boulevard, #202 Madison, WI 53705 (608) 238-9911 Initial ification: 10/1/91 Current: 10/1/02 Expires: 9/30/04 1920 The Rainbow Project, Inc. Sharyl Kato 831 E. Washington Avenue Madison, WI 53703 (608) 255-7356 (608) 255-0457 Initial ification: 5/1/88 Current: 7/1/04 Expires: 5/31/05

Page 32 of 203 1927 ified Provider Address, Contact, Phone The Wisconsin Institute for Psychotherapy & Training Dorothy Helman 1906 Monroe Street Madison, WI 537112093 (608) 256-6205 (608) 256-0973 Initial ification: 12/1/77 Current: 12/1/03 Expires: 11/30/05 1940 Adolescent Alcohol/Drug Abuse Intervention Program Cynthia Green 122 E. Olin Avenue, #275 Madison, WI 53713 (608) 262-1111 (608) 263-9045 Initial ification: 11/1/90 Current: 11/1/03 Expires: 10/31/05 CSAS-Prevention HFS 75.04 1953 University Hospital and Clinics Milli Rolli, MD Inpatient Psychiatry Department 600 Highland Avenue Madison, WI 53792 (608) 263-7525 (608) 262-9246 Initial ification: 1/1/87 Current: 11/1/03 Expires: 10/31/05 Mental Health-Inpatient HFS 61.71 1956 Uplands Counseling Associates, Inc. Stephanie Karwacki 9 Odana Court, #203 Madison, WI 53719 (608) 274-5181 Initial ification: 10/1/94 Current: 10/1/03 Expires: 9/30/05 1983 Wellspring Psychotherapy and Counseling Center Bryce Mitchell 5610 Medical Circle, Suite 25 Madison, WI 53719 (608) 274-5888 Initial ification: 7/1/96 Current: 7/1/03 Expires: 6/30/05 1996 Wisconsin Early Autism Project, Inc. Glen Sallows 6402 Odana Road Madison, WI 53719 (608) 288-9040 (608) 288-9042 Initial ification: 5/1/97 Current: 7/1/04 Expires: 4/30/05 2000 Wisconsin Psychotherapy and Healing Center Kay Phillips 6333 Odana Road Madison, WI 537191130 (608) 288-8022 (608) 288-8977 Initial ification: 9/1/93 Current: 9/1/02 Expires: 8/31/04

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 53703 (608) 255-4747 (608) 268-0752 2020 Woodlands Counseling Centre, LLC Initial ification: 7/1/94 Christine Rainey Current: 7/1/04 6506 Schroeder Road Expires: 6/30/06 Madison, WI 53711 (608) 274-7800 2026 Women & Families Psychological Services, LLC Initial ification: 9/1/96 Cathy Propper Current: 9/1/02 6502 Grand Teton Plaza, #203 Expires: 8/31/04 Madison, WI 53719 (608) 827-7220 (608) 827-7223 2098 University of Wisconsin Psychiatric Institute & Clinics Diane Roang 6001 Research Park Boulevard Madison, WI 53719 (608) 263-6100 UW-U Station Clinic 2880 University Avenue Madison WI 53705 UW-West Clinic 451 Junction Road Madison WI 53717 (608) 262-9246 Initial ification: 11/1/98 Current: 1/1/04 Expires: 10/31/05 2141 Family Achievement Clinic, SC Initial ification: 8/1/99 Lorelle Goodman Current: 8/1/02 5600 Medical Circle Expires: 7/31/04 Madison, WI 53719 (608) 274-6266 (608) 567-4870 2167 Manning Counseling Center, Inc. Mary Beth Manning 1050 Regent Street, #201 Madison, WI 53715 (608) 255-1116 Initial ification: 12/1/99 Current: 3/1/03 Expires: 11/30/04

Page 34 of 203 ified Provider Address, Contact, Phone 2186 Lutheran Counseling & Family Services of Wisconsin, Inc. Chuck Meseck 1021 Spaight Street Madison, WI 53703 (800) 291-4513 Initial ification: 1/1/00 Current: 4/1/04 Lutheran Counseling & Family Services of Wisconsin, Inc. 850 Armstrong Street Portage WI 53901 Lutheran Counseling & Family Services of Wisconsin, Inc. 2940 Mineral Point Avenue Janesville WI 53545 Expires: 12/31/05 2234 Midwest Associated Psychotherapy Center Initial ification: 7/1/00 Harold Rosenberg Current: 7/1/04 7818 Big Sky Drive, #207 Expires: 6/30/06 Madison, WI 53719 (608) 833-4990 (608) 829-2680 2249 The Family Resource Group Dennis Vandermausse 313 Price Place, #106 Madison, WI 53705 (608) 236-9035 Initial ification: 10/1/00 Current: 10/1/03 Expires: 9/30/05 2269 Birch Springs - East Kaitlyn Laurie 6320 Monona Drive, #312 Madison, WI 53716 (608) 255-0435 Initial ification: 12/1/00 Current: 12/1/02 Expires: 11/30/04 2309 Orion Family Services, Inc. Hugh Meyers 6333 Odana Road Madison, WI 53719 (608) 270-2511 (608) 270-0467 Initial ification: 7/12/01 Current: 8/1/02 Expires: 7/31/04 2311 Counseling Solutions Susan LeGrand-Levine 4510 Regent Street Madison, WI 53705 (608) 238-3390 Initial ification: 7/12/01 Current: 2/1/04 Expires: 7/31/04

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: 7/1/03 752 N. High Point Road Expires: 6/30/05 Madison, WI 53717 (608) 824-4776 2392 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 53711 (608) 441-0123 (608) 441-0126 Integrated Development Services, Inc. at Rosenberry Road 2102 Rosenberry Road, #2 Madison WI 53711 2407 Connections Counseling Initial ification: 1/1/03 Shelly Dutch Current: 4/1/04 100 River Place, #4 Expires: 3/31/05 Madison, WI 537164041 (608) 221-1500 (608) 221-1515 2410 Thomas and Associates Services, LLC, Mental Health & AODA Treament Center Initial ification: 2/1/03 Gerald Thomas Current: 6/1/04 1818 S. Park Street Expires: 8/31/04 Madison, WI 53713 (608) 259-9499 (608) 259-9489 2446 Pathfinder of Dane County - Hope Haven - Rebos United, Inc. Initial ification: 5/1/03 Kate Ihus Current: 6/1/04 3601 Memorial Drive, #116 Expires: 4/30/05 (608) 268-0932 (608) 242-5469 CSAS-Day Treatment HFS 75.12 2486 Juvenile Assessment and Treatment Center, LLC Lorrie Roller 2453 Atwood Avenue, Suite 102 (608) 242-8780 (608) 242-8790 Initial ification: 12/1/03 Current: 12/1/03 Expires: 11/30/04

Page 36 of 203 ified Provider Address, Contact, Phone 2519 Living Well Counseling Services, LLC Initial ification: 5/1/04 Debbie Marks Current: 5/1/04 4915 Monona Drive, #305 Expires: 4/30/05 Madison, WI 53716 (608) 223-1506 (608) 223-1745 2521 Dean Medical Center, Department of Psychiatry Initial ification: 5/1/04 Deborah Moen Current: 5/1/04 1821 S. Stoughton Road Expires: 4/30/05 Madison, WI 53716 (608) 260-6006 (608) 260-6376 2526 Aro Counseling Centers, Inc. Initial ification: 7/1/04 Mary Beth Manning Current: 7/1/04 1050 Regent Street, #102 Expires: 6/30/05 Madison, WI 53715 (608) 255-1116 (608) 255-1160 CSAS-Day Treatment HFS 75.12 1220 Community Care Resources, Inc. Initial ification: 2/1/94 Daniel Simon Current: 4/1/03 6702 Stonefield Road Expires: 3/31/05 Middleton, WI 53562 (608) 827-7100 Community Care Resources, Inc. - Grant County 8820 Hwy 35 & 61 South Box 447 Lancaster WI 53813 2250 Waldron, Kriss and Associates Kenneth Waldron 6702 Stonefield Road, #A Middleton, WI 53562 (608) 836-5529 (608) 836-8059 Initial ification: 10/1/00 Current: 3/1/03 Expires: 9/30/04 1901 Network Day Treatment Initial ification: 2/1/95 William McCauliffe-Schroeder Current: 8/1/03 1250 Femrite Drive, #205 Expires: 7/31/05 Monona, WI 537163716 (608) 223-3342 CSAS-Day Treatment HFS 75.12

Page 37 of 203 ified Provider Address, Contact, Phone 2513 Oregon Mental Health Services Initial ification: 5/1/04 Mary Sella Current: 5/1/04 600 Pleasant Oak Drive, #A Expires: 4/30/05 Oregon, WI 53575 (608) 835-5050 (608) 835-5010 1883 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 53589 (608) 873-6422 (608) 873-6014 1884 Stoughton Hospital-ROSE Program Initial ification: 9/1/97 Jeannie Jundt Current: 9/1/02 900 Ridge Street, 1st Floor Expires: 8/31/04 Stoughton, WI 53589 (608) 873-2224 Mental Health-Inpatient HFS 61.71 1273 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 53590 (608) 825-3777 (608) 825-3793 1742 Prairie Counseling Services Initial ification: 7/1/78 David Schumacher Current: 8/1/04 1460 W. Main Street Expires: 6/30/06 Sun Prairie, WI 53590 (608) 837-4814 (608) 825-4933 1891 Sun Prairie Psychological Services Initial ification: 8/1/92 Lawrence Stava Current: 8/1/02 705 W. Main Street Expires: 7/31/04 Sun Prairie, WI 53590 (608) 825-6663 2374 Phoenix Counseling, Ltd. David Kuykendall 1500 W. Main Street, #300B Sun Prairie, WI 53590 (608) 825-6711 (608) 825-6703 Initial ification: 5/27/02 Current: 6/1/03 Expires: 5/31/05

Page 38 of 203 ified Provider Address, Contact, Phone 1912 The Family Place Carolyn Moynihan 8283 N. Riley Road Verona, WI 535939081 (608) 845-2233 (608) 845-7758 Initial ification: 10/1/89 Current: 11/1/03 Expires: 10/31/04 1964 Verona Family Medical Clinic Initial ification: 6/1/97 Jill Davis Current: 6/1/04 100 North Nine Mound Road Expires: 5/31/06 Verona, WI 53593 (608) 845-9531 2502 Georgia's Garden Recovery Center Initial ification: 3/1/04 Sarah Groth Current: 3/1/04 6761 Sunset Meadow Drive Expires: 2/28/05 Windsor, WI 53598 (608) 846-1625 (608) 846-3927 CSAS-Transitional Residential HFS 75.14 1018 Affiliated Counseling Center Sandra Schweifel 108 N. Lincoln Avenue Beaver Dam, WI 53916 (920) 887-8751 (920) 887-3977 Affiliated Counseling Center 17 Forest Avenue Fond du Lac WI 54935 Initial ification: 11/1/89 Current: 1/1/03 County / State: Dodge Expires: 9/30/04 1527 LSS Counseling Clinic - Beaver Dam Initial ification: 7/1/89 County / State: Dodge Meg Graves Current: 7/1/03 1200 N. Center Street Expires: 6/30/05 Beaver Dam, WI 53916 (608) 887-3171 (608) 270-6651 LSS Counseling Clinic - Fort Atkinson 311 N. Main Street Fort Atkinson WI 53538 1753 Psychiatric Associates Kenneth Graupner 200 Front Street, #3D Beaver Dam, WI 53916 (920) 885-2780 (920) 885-2788 Psychiatric Associates W1898 Cty AW Randolph WI 53956 Initial ification: 10/1/84 Current: 1/31/03 County / State: Dodge Expires: 9/30/04

Page 39 of 203 1282 ified Provider Address, Contact, Phone Dodge County Human Services and Health Department Terry Deal 199 Home Road Juneau, WI 530391400 (920) 386-3500 (920) 386-3812 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 75.05 2100 Dodge County Human Services Department Community Support Program Terrance Deal 199 Home Road Juneau, WI 53039 (920) 386-3500 Initial ification: 1/1/99 Current: 10/1/03 Expires: 9/30/05 County / State: Dodge Mental Health-Community Support Program HFS 63 2525 Temenos Counseling - Watertown Fred Gustafson 123 Hospital Drive, #114 Watertown, WI 53098 (920) 261-5824 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 53963 (920) 324-4358 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 54235 (920) 743-9554 Initial ification: 11/16/93 Current: 12/1/02 County / State: Door Expires: 11/30/04 Frank Bellaire

Page 40 of 203 1283 ified Provider Address, Contact, Phone Door County Department of Community Programs Mark Morrison 421 Nebraska Street Sturgeon Bay, WI 54235 (920) 746-2345 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 3 1284 Door County Memorial Hospital Jeffrey Wilson 323 S. 18th Avenue Sturgeon Bay, WI 542351495 (920) 746-3692 Initial ification: 8/1/77 Current: 9/1/03 Expires: 8/31/04 County / State: Door CSAS-Medically Managed Inpatient Detox Frank Bellaire HFS 75.06 2159 Door County Department of Community Programs Community Support Program Mark Morrison 421 Nebraska Street Sturgeon Bay, WI 54235 (920) 746-2345 Initial ification: 10/1/99 Current: 4/1/03 Expires: 3/31/04 County / State: Door Mental Health-Community Support Program Frank Bellaire HFS 63 2448 Family Services of Northeast Wisconsin, Inc. Thomas Martin 827 N. 8th Avenue Sturgeon Bay, WI 54235 (920) 433-3372 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 54880 (715) 392-8216 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 2 1542 Lutheran Social Services of Wisconsin and Upper Michigan, Inc. John Ball 2231 Catlin Avenue Superior, WI 54880 (715) 394-4173 Initial ification: 2/12/98 Current: 7/1/03 County / State: Douglas Expires: 6/30/05 K. L. Polly Wong

Page 41 of 203 1922 ified Provider Address, Contact, Phone The Recovery Center, Inc. Holly Strop 1500 N. 34th Street, #500 Superior, WI 54880 (715) 392-2822 Initial ification: 7/1/77 Current: 5/1/04 Expires: 10/31/05 County / State: Douglas Roderic Senn CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1926 The Superior Treatment Center, Inc. James Skoviera 1507 Tower Avenue, #307 Superior, WI 54880 (715) 392-9300 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 548803339 (715) 395-3805 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 54880 (715) 392-8216 (715) 392-6055 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

Page 42 of 203 1007 ified Provider Address, Contact, Phone Access Center Andy Wolf 406 Technology Drive, East, #B Menomonie, WI 54751 (715) 235-4667 Access Center 112 Central Owen WI 54460 Access Center 102 Industrial Boulevard New Richmond WI 54017 Access Center 113 East Walnut Street River Falls WI 54022 Access Center 12 W. Marshall, #104 Rice Lake WI 54868 Access Center 112 E. Main Street Arcadia WI 54612 Access Center 1729 Westgate Road Eau Claire WI 54703 Access Center 804 W. Ninth Street, North, #B Ladysmith WI 54848 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 2 1050 Arbor Place, Inc. Pam Haukeness 320-21st Street NE Menomonie, WI 54751 (715) 233-3344 Arbor Place, Inc. 394 Red Cedar Street Menomonie WI 54751 Dunn County Jail 615 Stokka Parkway Menomonie WI 54751 Initial ification: 12/1/93 Current: 3/6/03 County / State: Dunn Expires: 9/30/04 Roderic Senn CSAS-Prevention HFS 75.04 CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 CSAS-Transitional Residential HFS 75.14 1287 Dunn County Department of Human Services Outpatient Mental Health Clinic Jeff Imler 808 Main Street Menomonie, WI 54751 (715) 232-1116 Initial ification: 1/1/81 Current: 6/1/04 Expires: 5/31/06 County / State: Dunn Roderic Senn

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 547517004 (715) 233-7891 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: 6/1/04 808 Main Street Expires: 5/31/05 Roderic Senn Menomonie, WI 54751 (715) 232-1116 Mental Health-Community Support Program HFS 63 1020 Affinity House Initial ification: 3/1/92 County / State: Eau Claire Lynda Olson Current: 3/1/04 3042 Kilbourne Avenue Expires: 2/28/06 K. L. Polly Wong Eau Claire, WI 54703 (715) 833-0436 (715) 833-1505 CSAS-Transitional Residential HFS 75.14 1119 Caillier Clinic, Ltd. Initial ification: 1/1/83 County / State: Eau Claire Paul Caillier Current: 12/1/02 505 S. Dewey, #101 Expires: 11/30/04 Roderic Senn Eau Claire, WI 54701 (715) 836-0064 Caillier Clinic, Ltd 320 North Main Street Rice Lake WI 54868 1186 Children's Service Society of Wisconsin Initial ification: 9/1/83 County / State: Eau Claire Lon Piper Current: 1/1/04 2004 Highland Avenue Expires: 12/31/05 Roderic Senn Eau Claire, WI 54701 (715) 835-5915 1203 Clearwater Counseling and Personal Growth Center, Inc. Janice O'Connor 4330 Golf Terrace, Suite 213M Eau Claire, WI 547017984 (715) 832-4060 (715) 832-5914 Initial ification: 9/4/90 Clearwater Counseling and Personal Growth Center, Inc. 705 Bay Street Chippewa Falls WI 54729 Current: 10/1/03 Expires: 9/30/04 County / State: Eau Claire Roderic Senn

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: 3/1/04 550 N. Dewey Street, Unit 4 & 5 Expires: 2/28/05 Roderic Senn Eau Claire, WI 54703 (715) 834-6681 CSAS-Transitional Residential HFS 75.14 1293 Eau Claire County Department of Human Services CSP Initial ification: 1/1/90 County / State: Eau Claire Roy Sargeant Current: 3/1/04 721 Oxford Avenue Expires: 2/28/05 Roderic Senn Eau Claire, WI 54703 (715) 831-5700 Mental Health-Community Support Program HFS 63 1348 First Things First, Ltd. Initial ification: 8/1/90 County / State: Eau Claire Edward Ramsey Current: 8/1/04 2125 Heights Drive, #2D Expires: 7/31/05 Roderic Senn Eau Claire, WI 54701 (715) 832-8432 (715) 832-5007 1408 Heinz Psychological Service, Ltd. Initial ification: 8/1/90 County / State: Eau Claire Harlan Heinz Current: 9/1/03 826 S. Hastings Way Expires: 8/31/05 Roderic Senn Eau Claire, WI 54701 (715) 834-3171 1511 Luther Hospital Initial ification: 6/1/81 County / State: Eau Claire Janet Goodwin Current: 12/1/02 1221 Whipple Street Expires: 11/30/04 K. L. Polly Wong Eau Claire, WI 54702 (715) 838-6813 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06

Page 45 of 203 ified Provider Address, Contact, Phone 1512 Luther/Midelfort Behavioral Health Janet Goodwin 1221 Whipple Street Eau Claire, WI 54701 (715) 838-5369 Barron Clinic - Midelfort Clinic 1220 E. Woodland Avenue Barron WI 54812 Chippewa Falls Midelfort Clinic 611 First Avenue Chippewa Falls WI 54729 Midelfort Clinic Pediatric Department 733 W. Clairemont Avenue Eau Claire WI 54701 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 75.12 1517 Lutheran Counseling and Family Services of Wisconsin Initial ification: 4/1/91 County / State: Eau Claire Chuck Meseck Current: 4/1/03 601 Fall Street Expires: 3/31/05 Roderic Senn Eau Claire, WI 54703 (888) 867-4840 1528 Lutheran Social Services of Wisconsin and Upper Michigan, Inc. Initial ification: 9/1/80 County / State: Eau Claire John Yungerberg Current: 7/1/03 1101 W. Clairemont Avenue, #1A Expires: 6/30/05 K. L. Polly Wong Eau Claire, WI 54701 (715) 838-9856 Lutheran Social Services-Eau Claire 910-9th Street Menomonie WI 54751 Lutheran Social Services-Eau Claire 24 W. Newton Rice Lake WI 54868 Lutheran Social Services-Eau Claire 28 E. Columbia Street Chippewa Falls WI 54729 Lutheran Social Services-Eau Claire 920-3rd Street Hudson WI 54016 Lutheran Social Services-Eau Claire 202 S. Second Street River Falls WI 54022 Lutheran Social Services-Eau Claire 229 W. Main Street Ellsworth WI 54011

Page 46 of 203 1529 ified Provider Address, Contact, Phone Lutheran Social Services-Fahrman Center Richard Williams 3136 Craig Road Eau Claire, WI 54701 (715) 835-9110 (715) 830-4098 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 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1562 Marriage and Family Health Services, Ltd. Thomas Johnston 2016 Brackett Avenue Eau Claire, WI 54701 (715) 832-0238 Marriage and Family Health Services 250 Buffalo Street Mondovi WI 54755 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 1 40.11(2)(a) Marriage And Family Health Services 612 E. Warden Avenue Ladysmith WI 54848 Marriage and Family Health Services, Ltd. 905-7th Avenue, West Durand WI 54736 Marriage and Family Health Services, Ltd. 132 W. Columbia Street Chippewa Falls WI 54729 1720 Omne Clinic, Inc. Initial ification: 10/1/87 County / State: Eau Claire Anton Smets Current: 10/1/03 W. Riverside Building, #240/250 221 W. Madison Expires: 9/30/05 Street Eau Claire, WI 54703 (715) 832-5454 (715) 832-2991 Omne Clinic Family Medicine 806 S. Farwell Street Eau Claire WI 54701 Omne Clinic, Inc. 233 E. LaSalle Street Barron WI 54812 Roderic Senn Mental Health-Emergency HFS 34.3 Service 3 1907 Brotoloc Health Care Systems Mental Health Clinic Janine Zeutschel 2710 Town Hall Road Eau Claire, WI 54703 (715) 874-5050 Initial ification: 4/2/94 Current: 8/1/00 Expires: 7/31/02 County / State: Eau Claire Roderic Senn

Page 47 of 203 1936 ified Provider Address, Contact, Phone Triniteam, Inc. David Kihl 202 Graham Avenue Eau Claire, WI 54701 (715) 836-8106 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 547014964 (715) 832-1678 Redeemer Lutheran Church 520 E. Orchard Beach Lane (715) 832-6680 Rice Lake WI 548682849 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 544561630 2029 Sacred Heart Hospital Stephen Ronstrom 900 W. Clairemont Avenue Eau Claire, WI 54701 (715) 839-4121 Initial ification: 2/1/82 Current: 1/1/03 Expires: 12/31/04 County / State: Eau Claire Roderic Senn Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06 2130 Lutheran Social Services-Touchstones Center Laurie Lessard 211 Eau Claire Street Eau Claire, WI 54701 (715) 855-1373 (715) 855-1375 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 54701 (715) 832-6644 Initial ification: 1/14/00 Current: 1/1/02 County / State: Eau Claire Expires: 12/31/04 Roderic Senn

Page 48 of 203 ified Provider Address, Contact, Phone 2203 Marshfield Clinic - Eau Claire Center Kathleen Ertz 2102 Craig Road Eau Claire, WI 54701 (715) 858-4850 (715) 389-4758 Marshfield Clinic - Menomonie Center 3603 Schneider Avenue Menomonie WI 54751 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 54701 (715) 834-1000 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: 2/1/04 1802 Warden Street Expires: 1/31/06 Roderic Senn Eau Claire, WI 54703 (715) 552-1342 (715) 327-4470 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 54701 (715) 832-2233 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 240-250 Eau Claire, WI 54703 (715) 832-5454 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 34.3 1085 Beacon House Mary Gerlach 166 S. Park Avenue Fond du Lac, WI 54935 (920) 923-3999 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

Page 49 of 203 1108 ified Provider Address, Contact, Phone Blandine House, Inc. John Vercauteren 25 N. Park Avenue Fond du Lac, WI 54935 (920) 922-9487 Initial ification: 1/8/91 Current: 1/1/03 Expires: 12/31/04 County / State: Fond Du Lac Frank Bellaire CSAS-Transitional Residential HFS 75.14 1131 Catholic Charities Diane Knight 191 S. Main Street Fond du Lac, WI 549354209 (920) 923-2550 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 54935 (920) 921-1366 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 54935 (920) 921-3343 (920) 921-0989 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 54935 (920) 929-3500 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 61.75 Mental Health-Emergency HFS 34.3 Service 3 Mental Health-Inpatient HFS 61.71 CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 CSAS-Medically Managed HFS 75.06 Inpatient Detox

Page 50 of 203 1514 ified Provider Address, Contact, Phone Lutheran Counseling and Family Services of Wisconsin, Inc. Chuck Meseck 260 Vincent Street Fond du Lac, WI 54935 (888) 867-4840 (715) 524-4236 Initial ification: 10/1/85 Current: 8/1/04 Lutheran Counseling and Family Services of Wisconsin, In 1228 S. Park Avenue Neenah WI 54956 Lutheran Counseling and Family Services of Wisconsin, In 168 Mound Street Berlin WI 54923 Lutheran Counseling and Family Services of Wisconsin, In 505 N. Palmatory Horicon WI 53032 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 54935 (920) 926-4201 St. Agnes Hospital Behavioral Health Services 620 W. Brown Street Waupun WI 53963 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 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 CSAS-Transitional Residential HFS 75.14 1888 Stress Management Counseling Frank Scannell 845 E. Merrill Avenue Fond du Lac, WI 54935 (920) 921-7168 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 54935 (920) 907-0097 Initial ification: 10/12/98 Current: 3/30/04 County / State: Fond Du Lac Expires: 10/31/04 Frank Bellaire

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 54935 (920) 907-8201 (920) 907-8209 2289 Inside/Out Counseling and Diagnosic Center Peggy Dennison 104 S. Main Street, #711 Fond du Lac, WI 54935 (920) 322-9100 Inside/Out Counseling and Diagnostic Center 107 Front Street Beaver Dam WI 53916 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 54935 (920) 907-0813 Initial ification: 3/22/02 Current: 4/1/04 County / State: Fond Du Lac Expires: 3/31/06 Frank Bellaire CSAS-Day Treatment HFS 75.12 2396 Aurora Behavioral Health Center - Fond du Lac Katherine M. Connelly 210 Wisconsin American Drive Fond du Lac, WI 54935 (920) 454-6506 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 54520 (715) 478-7332 (715) 478-7326 Initial ification: 4/1/94 Current: 4/1/03 Forest Co Potawatomi Behavioral Hlth Dpt Wabeno School 4346 Mill Lane Wabeno WI 54566 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 54520 (715) 356-8540 Initial ification: 6/27/89 Current: 5/1/01 County / State: Forest Expires: 4/30/03 Steven Ojibway

Page 52 of 203 2194 ified Provider Address, Contact, Phone Sokaogon Chippewa Health Clinic Fred Johnston 3163 State Highway 55 Crandon, WI 54520 (715) 478-7642 (715) 478-5904 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 54520 (715) 369-6433 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 53805 (608) 375-2540 Initial ification: 5/1/86 Current: 8/1/02 Expires: 7/31/04 County / State: Grant Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox 1406 Heartland Clinic Yvonne Zubaty 1515 Elm Street Boscobel, WI 53805 (608) 375-2700 (608) 375-4177 Initial ification: 12/1/89 Current: 12/1/03 County / State: Grant Expires: 11/30/05 2197 Southwest Health Center Senior Behavioral Science Jean Scallon 808 S. Washington Street Cuba City, WI 53807 (608) 744-3156 (608) 744-3959 Initial ification: 3/1/00 Current: 3/1/04 Expires: 2/28/06 County / State: Grant Mental Health-Inpatient HFS 61.71 1941 Unified Community Services Community Support Program Neal Blackburn 200 W. Alona Lane Lancaster, WI 53813 (608) 723-6357 (608) 723-4417 Initial ification: 7/1/94 Current: 10/1/02 Expires: 9/30/04 County / State: Grant Mental Health-Community Support Program HFS 63

Page 53 of 203 1943 ified Provider Address, Contact, Phone Unified Community Services J. Neal Blackburn 200 W. Alona Lane Lancaster, WI 53813 (608) 723-6357 (608) 723-4417 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 75.05 1738 Platteville Family Resource Center, Inc. Marc K. Wruble 1250 E. Hwy. 151, Suite D Platteville, WI 53818 (608) 348-4060 (715) 348-4191 Platteville Family Resource Center, Inc. 731 Clay Street Darlington WI 53530 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 53818 (608) 342-4853 (608) 342-4801 WKM Psychology Clinic 500 S. Madison Lancaster WI 53813 Initial ification: 8/1/84 Current: 8/1/02 Expires: 7/31/04 County / State: Grant WKM Psychology Clinic 280 Bluff Street Dubuque IA 52001 1388 Green County Human Services Greg Holcomb N3152 State Road 81 Monroe, WI 53566 (608) 328-9393 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

Page 54 of 203 1915 ified Provider Address, Contact, Phone The Monroe Clinic Rachel Long 515-22nd Avenue Monroe, WI 53566 (608) 324-1197 (608) 324-2102 Brodhead Branch of The Monroe Clinic 1904 First Center Avenue Brodhead WI 53520 Freeport Branch of The Monroe Clinic 1301 Kiwanis Drive Freeport IL 61025 New Glarus Branch of The Monroe Clinic 507 Duerst Valley Road New Glarus WI 53574 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 53566 (608) 328-9393 Initial ification: 1/1/00 Current: 1/1/04 Expires: 12/31/05 County / State: Green Mental Health-Community Support Program HFS 63 1389 Green Lake County Department of Health & Human Services Linda Van Ness 500 Lake Steel Street Green Lake, WI 54941 (920) 294-4070 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 75.04 CSAS-Emergency Outpatient HFS 75.05 2265 Green Lake County Department of Health & Human Services CSP Linda Van Ness 550 Lake Steel Street Green Lake, WI 54941 (920) 294-4070 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 63 1254 Counseling Center of Southwest Wisconsin Susan Liljegren 229 N. Iowa Street Dodgeville, WI 53533 (608) 935-9061 (608) 937-0101 Initial ification: 4/18/95 Current: 5/17/04 County / State: Iowa Expires: 4/30/05

Page 55 of 203 ified Provider Address, Contact, Phone 1942 Unified Community Services J. Neal Blackburn 1122 Professional Drive Dodgeville, WI 53533 (608) 723-6357 (608) 723-4417 Initial ification: 10/1/75 Current: 7/1/04 County / State: Iowa Expires: 6/30/06 1957 Uplands Counseling Associates Initial ification: 7/1/88 County / State: Iowa Christine Tsubokura Current: 7/1/04 829 S. Iowa Street Expires: 6/30/06 Dodgeville, WI 53533 (608) 935-2838 (608) 935-9227 2347 Iron County Human Services Department and Associates Carolyn Kolson-Janov 300 Taconite Street, #201 Hurley, WI 54534 (715) 561-3636 Initial ification: 3/1/02 Iron County Human Services Department and Associates 2657 Railroad Street Mercer WI 54547 Current: 3/1/03 Expires: 2/28/05 County / State: Iron Steven Ojibway CSAS-Prevention HFS 75.04 1107 Black River Memorial Hospital Initial ification: 1/1/77 County / State: Jackson Mary Beth White-Jacobs Current: 4/1/03 711 W. Adams Street Expires: 3/31/05 K. L. Polly Wong Black River Falls, WI 54615 (715) 284-5361 CSAS-Medically Managed Inpatient Detox HFS 75.06 1413 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 54615 (715) 284-3057 (715) 284-3434 1473 Krohn Clinic, Ltd. Initial ification: 2/1/88 County / State: Jackson Liz Lund Current: 5/1/03 610 W. Adams Street Expires: 4/30/05 K. L. Polly Wong Black River Falls, WI 54615 (715) 284-1887

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 54615 (715) 284-4301 (715) 284-7713 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 54615 (715) 284-0361 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: 1/1/04 221 Fillmore Street Expires: 12/31/04 Roderic Senn Black River Falls, WI 54615 (608) 637-7052 Mental Health-Community Support Program HFS 63 1309 Center for Behavioral Health Karen Hembrook 611 Sherman Avenue, E. Fort Atkinson, WI 53538 (920) 568-5071 (920) 568-5092 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: 9/1/03 611 E. Sherman Avenue, East Expires: 8/31/05 Mark Isaacs Fort Atkinson, WI 53538 (920) 568-5071 CSAS-Medically Managed Inpatient Detox HFS 75.06 1602 Mental Health Consultants, S.C. Initial ification: 2/1/81 County / State: Jefferson Nicholas Bisenius Current: 1/1/04 509 McMillen Street Expires: 12/31/05 Mark Isaacs Fort Atkinson, WI 53538 (920) 563-9542 (920) 563-1004 Mental Health Consultants, S.C. Madison 402 S. Gammon Place, #260 Madison WI 53719 Mental Health Consultants, S.C. Whitewater 1461 W. Main Street Whitewater WI 53190

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: 11/1/03 600 Highland Avenue Expires: 10/31/05 Mark Isaacs Fort Atkinson, WI 535382744 (920) 563-8680 (920) 563-8949 Our Redeemer Lutheran Church 1701 McKenna Boulevard Madison WI 53711 St. John Lutheran Church 624 East Street Baraboo WI 53913 St. Mark Lutheran Church 215 N. 6th Street Watertown WI 53094 St. Steven Lutheran Church 412 W. Maple Avenue Beaver Dam WI 53916 Wisconsin Lutheran Chapel 220 W. Gilman Street Madison WI 53703 2348 Catholic Charities, Inc. Initial ification: 2/4/02 County / State: Jefferson Bonnie Loughran Current: 3/1/04 1631 Janesville Avenue Expires: 2/28/06 Mark Isaacs Fort Atkinson, WI 53538 (608) 256-2358 2468 Rock River Counseling. LLC Carol Erdman 335 Whitewater Avenue Fort Atkinson, WI 53538 (608) 691-0200 (920) 568-0444 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: 3/1/04 120 S. Main Street Expires: 2/28/06 Mark Isaacs Jefferson, WI 53549 (920) 674-9582 (920) 674-9564 Allied Counseling Services 706 Main Street Delafield WI 53018 St. John's Northwestern Military Academy 1101 N. Genesee Street Delafield WI 53018

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: 5/1/03 110 W. Linden, #B Expires: 4/30/05 Mark Isaacs Jefferson, WI 53559 (920) 674-9272 1449 Jefferson County Human Services Tom Schleitwiler N3995 Annex Road Jefferson, WI 53549 (920) 674-3105 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 53549 (920) 674-3105 Mental Health-Community Support Program HFS 63 2498 Aadvantage Behavioral Health Care, LLC Initial ification: 2/1/04 County / State: Jefferson Maureen Buss Current: 2/1/04 125 E. Pine Street Expires: 1/31/05 Mark Isaacs Lake Mills, WI 53551 (920) 648-4396 (920) 648-4394 1278 Directions Counseling Center John Duffin 129 Hospital Drive Watertown, WI 53098 (920) 262-4800 (920) 262-4813 Center for Women's Health 128 Hospital Drive Watertown WI 53098 Lakewood Clinic - Johnson Creek 102 Village Walk Lane Johnson Creek WI 53038 Lakewood Clinic - Johnson Creek 128 Hospital Drive Watertown WI 53098 Lakewood Clinic - Lake Mills 1025 Mulberry Street Lake Mills WI 53551 Initial ification: 11/1/81 Current: 1/1/04 County / State: Jefferson Expires: 12/31/05 Mark Isaacs

Page 59 of 203 1326 ified Provider Address, Contact, Phone Family Resources Associates, Inc. Barbara Lowe 1315 W. Main Street Watertown, WI 53094 (920) 261-4100 Family Resources Associates, Inc. 331 N. Main Street Lake Mills WI 53551 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 53094 (920) 261-3450 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 53948 (608) 847-6161 (608) 847-3881 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 53948 (608) 847-2400 (608) 847-9421 Initial ification: 1/1/89 Current: 12/1/03 Expires: 11/30/05 County / State: Juneau Mental Health-Community Support Program HFS 63 1453 Juneau County Department of Human Services Michael Roraff 220 E. LaCrosse Street Mauston, WI 53948 (608) 847-2400 (608) 847-9421 Initial ification: 1/1/88 Current: 1/1/04 Expires: 12/31/05 County / State: Juneau Mental Health-Emergency HFS 34.2 Service 2 2355 Cadena Counseling Services Javier Cadena 804 Prairie Street Mauston, WI 53948 (608) 847-3548 (608) 847-3548 Initial ification: 3/18/02 Current: 4/1/04 County / State: Juneau Expires: 3/31/06

Page 60 of 203 ified Provider Address, Contact, Phone 1024 Alcohol and Drug Council of Kenosha County Jeanne Pataska 611-56th Street, #200 Kenosha, WI 531403703 (262) 658-8166 Initial ification: 2/15/90 Current: 3/1/04 County / State: Kenosha Expires: 2/28/06 Mark Isaacs CSAS-Prevention HFS 75.04 1083 Bayside Clinic, S.C. Initial ification: 4/9/91 County / State: Kenosha Kathryn Aalto Current: 5/1/03 3618-8th Avenue, #2 Expires: 4/30/05 Mark Isaacs Kenosha, WI 53140 (262) 654-9370 1160 Change & Challenges, Inc. Rosemarie Kursietis 5716-7th Avenue Kenosha, WI 53140 (262) 657-3503 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 611-56th Street, #300 Kenosha, WI 53140 (262) 252-5522 (262) 652-7728 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 53144 (262) 654-5255 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: 1/1/04 920-60th Street Expires: 12/31/05 Mark Isaacs Kenosha, WI 53140 (262) 654-5333 1451 Johansen and Schneider Psychological Services, S.C. Initial ification: 2/1/93 County / State: Kenosha Debra Johansen Current: 2/1/04 6121 Green Bay Road, Suite 230 Expires: 1/31/06 Mark Isaacs Kenosha, WI 53142 (262) 654-8366

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: 4/1/04 5407-8th Avenue Expires: 3/31/06 Mark Isaacs Kenosha, WI 53140 (262) 657-7188 (262) 653-2080 Mental Health-Emergency Service 3 HFS 34.3 1749 Professional Services Group, Inc. Initial ification: 6/1/83 County / State: Kenosha Brian Wolf Current: 4/1/04 2106-2108 - 63rd Street Expires: 3/31/06 Mark Isaacs Kenosha, WI 53143 (262) 654-1004 Professional Services Group, Inc. 800 Goold Street Racine WI 53402 1752 Psychiatric and Psychotherapy Clinic Initial ification: 6/1/80 County / State: Kenosha Paul DeFazio Current: 5/1/04 3734-7th Avenue, Suite 24 Expires: 4/30/06 Mark Isaacs Kenosha, WI 53140 (262) 654-0487 (262) 654-2434 1890 Sue Panger & Associates, SC Sue Panger 3200 Sheridan Road, #105 Kenosha, WI 53140 (262) 652-9599 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 4109-67th Street Kenosha, WI 53142 (262) 652-9830 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 3618-8th Avenue, Suite 3 Kenosha, WI 53140 (262) 654-9370 Initial ification: 8/26/98 Current: 9/1/03 County / State: Kenosha Expires: 1/31/05 Mark Isaacs

Page 62 of 203 ified Provider Address, Contact, Phone 2200 Genesis Options Residential Program John Monacelli 6755-14th Avenue Kenosha, WI 53140 (262) 654-0638 Initial ification: 3/14/00 Current: 4/1/04 County / State: Kenosha Expires: 3/31/06 Mark Isaacs CSAS-Transitional Residential HFS 75.14 2218 Aurora Medical Group Behavioral Health Services Tom Grundle 10400-75th Street, #307 Kenosha, WI 53142 (262) 697-6770 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: 5/28/04 6121 Green Bay Road, #220 Expires: 8/31/05 Mark Isaacs Kenosha, WI 53142 (262) 652-7222 2300 All Saints Medical Center, Inc. Counseling Center - Kenosha Initial ification: 3/5/01 County / State: Kenosha Kathleen Belland Current: 4/1/04 10117-74th Street, #100 Expires: 3/31/06 Mark Isaacs Kenosha, WI 53142 (262) 697-8263 2388 Inner Resource Counseling Initial ification: 7/9/02 County / State: Kenosha Kathryn Weeks Current: 8/1/03 1010-35th Street Expires: 7/31/05 Mark Isaacs Kenosha, WI 53140 (262) 652-3000 (262) 652-5443 2409 Bell Therapy, Inc, Kenosha Community Support Program Initial ification: 1/1/03 County / State: Kenosha Anne Jones Current: 2/23/04 5407-8th Avenue Expires: 11/30/04 Mark Isaacs Kenosha, WI 53140 (262) 564-0067 (262) 564-0105 Mental Health-Community Support Program HFS 63 2416 Aids Resource Center of Wisconsin (ARCW) Initial ification: 1/7/03 County / State: Kenosha Laura Gentry Current: 2/1/04 1212-57th Street Expires: 1/31/06 Mark Isaacs Kenosha, WI 53140 (262) 225-1540 (262) 273-2357

Page 63 of 203 2433 ified Provider Address, Contact, Phone Rogers Memorial Hospital Child and Adolescent Day Treatment Program Jody Keskey, Psy.D. 9916-75th Street Kenosha, WI 53140 (262) 942-9464 (262) 942-7740 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 40.11(2)(b) 2443 Compassionate Care Counseling (A Div of Competitive Edge Emp Assurance Svs) Kevin M. Orlakis 3624-17th Avenue Kenosha, WI 53140 (262) 605-0809 (262) 605-0809 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 53405 (262) 653-8270 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 54201 (920) 487-5231 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 75.04 CSAS-Emergency Outpatient HFS 75.05 2288 Kewaunee County Department of Human Services CSP John Schad 522 Fourth Street Algoma, WI 54201 (920) 487-5231 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

Page 64 of 203 2124 ified Provider Address, Contact, Phone Family and Childrens Center Tim Garrity 1100 Linden Drive Holmen, WI 54636 (608) 526-6224 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 54601 Initial ification: Current: Expires: County / State: LaCrosse Roderic Senn 1151 Center for Effective Living, Ltd. James Lageunesse 603 King Street La Crosse, WI 54601 (608) 782-5775 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 54601 (608) 791-9555 Initial ification: 9/1/77 Franciscan-Skemp Healthcare Behavioral Health Services 520 Amy Drive Holmen WI 54636 Franciscan-Skemp Healthcare Behavioral Health Services 16812 S. Main Street Galesville WI 54630 Franciscan-Skemp Healthcare Behavioral Health Services Gerard Hall LaCrosse WI 54601 Franciscan-Skemp Healthcare Behavioral Health Services 800 West Avenue, S. La Crosse WI 54601 Franciscan-Skemp Healthcare Laar House 1022 Division Street Lacrosse WI 54601 Current: 6/1/03 Expires: 5/31/05 County / State: LaCrosse Roderic Senn Mental Health-Day Treatment for HFS Children 2 40.11(2)(b) Mental Health-Day Treatment HFS 61.75 CSAS-Day Treatment HFS 75.12 1415 Hoffe Counseling Services, Inc. Todd Hoffe 319 Main Street, #302 La Crosse, WI 54601 (608) 796-1168 Initial ification: 9/1/95 Current: 4/1/04 Expires: 9/30/04 County / State: LaCrosse Roderic Senn

Page 65 of 203 1425 ified Provider Address, Contact, Phone Human Development Associates Patricia Richgels East River Professional Park 2920 East Avenue South, Ste #101 La Crosse, WI 54601 (608) 784-8688 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 54601 (608) 785-6101 Initial ification: 1/1/90 Current: 7/1/04 Expires: 1/31/06 County / State: LaCrosse Mental Health-Community Support Program Roderic Senn HFS 63 1520 Gundersen Lutheran Medical Center, Inc. Behavioral Health Rebecca Cleveland 1910 South Avenue La Crosse, WI 54601 (608) 782-7300 Initial ification: 3/1/82 Gundersen Lutheran Medical Center, Inc., Behavioral Healt 724 Denton Street La Crosse WI 54601 Current: 12/1/03 Expires: 11/30/05 County / State: LaCrosse Roderic Senn Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Day Treatment HFS 75.12 CSAS-Narcotic Treatment HFS 75.15 2268 New Beginnings Counseling, Inc. Susan Cowell 319 Main Street, #302 La Crosse, WI 54601 (608) 796-0987 (608) 796-1944 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 54601 (608) 782-0710 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 54601 (608) 797-3349 Initial ification: 5/7/01 Current: 11/1/03 Expires: 10/31/05 County / State: LaCrosse K. L. Polly Wong

Page 66 of 203 ified Provider Address, Contact, Phone 2360 Germanson Psychotherapy Clinic Larry Germanson 115-5th Avenue South, #414 La Crosse, WI 54601 (608) 796-9744 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: 8/6/03 115-5th Avenue South, Suite 416 Expires: 8/31/04 Roderic Senn La Crosse, WI 546014096 (608) 785-7000 2474 Garrison Counseling, Inc. Deborah Garrison 319 Main Street, Suite 303 La Crosse, WI 54601 (608) 796-1114 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 54601 (608) 791-6147 (608) 791-9511 Initial ification: 3/19/04 Current: 3/19/04 County / State: LaCrosse Expires: 3/31/05 Roderic Senn CSAS-Transitional Residential HFS 75.14 1161 Changes and Choices, Inc. Initial ification: 7/1/95 County / State: LaCrosse Cindy Patterson-Rhorer Current: 3/1/04 2350 South Avenue, #102 Expires: 2/28/06 Roderic Senn Lacrosse, WI 54601 (608) 787-6645 (608) 787-6658 1240 Coulee Council on Alcohol and Other Chemical Abuse, Inc. Jeff Schroeder 921 West Avenue South Lacrosse, WI 546014754 (608) 784-4177 Initial ification: 11/1/86 Current: 5/1/04 County / State: LaCrosse Expires: 10/31/05 Roderic Senn CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 1241 Coulee Youth Centers, Inc. Initial ification: 1/1/92 County / State: LaCrosse Steven Eide Current: 8/1/03 231 Copeland Avenue Expires: 3/31/05 Roderic Senn LaCrosse, WI 54601 (608) 782-7152

Page 67 of 203 1315 ified Provider Address, Contact, Phone Family and Children's Center Tim Garrity 1707 Main Street Lacrosse, WI 54601 (608) 785-0001 (608) 785-0002 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 1 40.11(2)(a) 1360 Franciscan-Skemp Healthcare Scarseth House Robert Hillary 535 S. 17th Street Lacrosse, WI 54601 (608) 785-1270 Initial ification: 1/1/91 Current: 4/1/04 Expires: 3/31/06 County / State: LaCrosse Roderic Senn CSAS-Transitional Residential HFS 75.14 1365 Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 800 West Avenue South Lacrosse, WI 54601 (608) 791-9781 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 54601 (608) 782-7700 Initial ification: 1/1/91 Current: 4/1/03 Expires: 3/31/05 County / State: LaCrosse Roderic Senn CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 CSAS-Transitional Residential HFS 75.14 1370 Franciscan-Skemp Healthcare Nan Andersen 700 West Avenue South Lacrosse, WI 54601 (608) 785-0940 Initial ification: 9/1/77 Current: 4/1/03 Expires: 3/31/05 County / State: LaCrosse Roderic Senn Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06

Page 68 of 203 1391 ified Provider Address, Contact, Phone Gundersen Clinic Limited, Behavioral Health Rebecca Cleveland 1836 South Avenue LaCrosse, WI 54601 (608) 782-7300 Gundersen Clinic 3100 S. Kinney Coulee Road Onalaska WI 54650 Gundersen Clinic 123-16th Avenue S. Onalaska WI 54650 Gundersen Clinic - Viroqua 125 W. Jefferson Street Viroqua WI 54665 Gundersen Clinic-Alma P.O. Box 58 Alma WI 54601 Gundersen Clinic-Sparta 103 S. Water Street Sparta WI 54656 Gundersen Clinic-Whitehall 36024 Park Street P. O. Box 704 Whitehall WI 54733 Gundersen-Prairie du Chien Clinic 710 E. Black Hawk Prairie du Chien WI 53821 River Park Suites 601 N. Superior Tomah WI 54660 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 54601 (608) 785-6101 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

Page 69 of 203 1533 ified Provider Address, Contact, Phone Lutheran Social Services of Wisconsin and Upper Michigan, Inc. John Yungerberg 2350 South Avenue, #213 Lacrosse, WI 54601 (608) 788-5092 Lutheran Social Services-La Crosse 612 N. Water Street Sparta WI 54656 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 54601 (608) 782-7300 Initial ification: 12/1/93 Current: 11/1/03 County / State: LaCrosse Expires: 10/31/05 Roderic Senn CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1952 Gundersen Lutheran Medical Center, Inc., Unity House for Women Rebecca Cleveland 1924 Miller Street Lacrosse, WI 54601 (608) 782-7300 Initial ification: 11/1/93 Current: 11/1/03 County / State: LaCrosse Expires: 10/31/05 Roderic Senn CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 2267 Johnson Counseling and Consulting John Johnson 505 King Street, #227 LaCrosse, WI 54601 (608) 796-2710 (608) 796-2712 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 54650 (507) 474-0966 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 54650 (608) 783-2186 Initial ification: 4/1/92 Current: 4/1/03 Expires: 3/31/05 County / State: LaCrosse Roderic Senn

Page 70 of 203 2280 ified Provider Address, Contact, Phone Gundersen Lutheran Medical Center, Inc., Behavioral Health Rebecca Cleveland 123-16th Avenue, South Onalaska, WI 54650 (608) 782-7300 Gundersen Lutheran Medical Center, Behavioral Health 36024 Park Street Whitehall WI 54773 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 54650 (608) 781-6500 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 54650 (608) 781-5522 Initial ification: 5/14/03 Christian Family Counseling, Ascension Lutheran Church 2207-11th Avenue, SE Rochester MN 559045694 Current: 6/1/04 Christian Family Counseling, St. Matthew Lutheran Church 766 W. Wabasha Street Winona MN 559872720 Christian Family Counseling, St. Paul Lutheran Church 517 Grayside Avenue Mauston WI 539481922 Christian Family Counseling, St. Paul Lutheran Church 525 Superior Avenue Tomah WI 546602040 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 53530 (608) 776-4880 (608) 776-4914 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

Page 71 of 203 2279 ified Provider Address, Contact, Phone Lafayette County Department of Human Services Community Support Program C. Thomas MacDonald 627 N. Main Street Darlington, WI 53530 (608) 776-4800 (608) 776-4914 Initial ification: 11/1/00 Current: 11/1/03 Expires: 10/31/04 County / State: Lafayette Mental Health-Community Support Program HFS 63 1676 North Central Health Care Center/Langlade Health Care Center James Hahn 1225 Langlade Road Antigo, WI 54409 (715) 623-2394 (715) 627-4194 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 3 2298 North Central Health Care Center/ Langlade Health Care Center CSP James Hahn 1225 Langlade Road Antigo, WI 54409 (715) 623-2394 Initial ification: 3/1/87 Current: 6/1/03 Expires: 5/31/05 County / State: Langlade Mental Health-Community Support Program Steven Ojibway HFS 63 2346 Lutheran Social Services of Wisconsin & Upper Michigan-Antigo John Youngerberg 612 Clermont Street Antigo, WI 54409 (715) 627-0329 (715) 845-8483 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 54428 (715) 275-3934 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 54452 (715) 536-9482 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

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: 6/1/03 607 N. Sales Street Expires: 5/31/05 Steven Ojibway Merrill, WI 544521637 (715) 536-9482 (715) 539-2972 2529 Central Wisconsin Psychological Services, LLC Initial ification: 4/1/04 County / State: Lincoln Eric Anderson Current: 4/1/04 726 East 2nd Street Expires: 3/31/05 Steven Ojibway Merrill, WI 54452 (715) 539-8080 2530 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 54452 (715) 536-4440 1681 North Central Health Care Lincoln Healthcare Center Initial ification: 7/1/92 County / State: Lincoln Margaret A Parsons Current: 3/1/03 310 W. Wisconsin Avenue Expires: 2/28/05 Steven Ojibway Tomahawk, WI 54487 (715) 453-5381 2071 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 54487 (715) 453-7785 1139 Catholic Charities Diocese of Green Bay, Inc. Karen Johnston 1203 N. 16th Street Manitowoc, WI 54221 (920) 684-6651 Initial ification: 1/26/88 Current: 2/1/03 County / State: Manitowoc Expires: 1/31/05 Frank Bellaire

Page 73 of 203 1334 ified Provider Address, Contact, Phone Tamarack Behavioral Health Center Toby Taubenheim 339 Reed Avenue Manitowoc, WI 54220 (920) 683-9922 Tamarack Behavioral Health Center 2300 Western Avenue Manitowoc WI 54220 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 54220 (920) 683-9500 (920) 683-9588 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 3 40.11(2)(c) Mental Health-Day Treatment HFS 61.75 1416 Holy Family Memorial Medical Center Toby Taubenheim 2300 Western Avenue Manitowoc, WI 54221 (920) 684-2345 Initial ification: 5/1/85 Current: 3/1/04 Expires: 2/28/06 County / State: Manitowoc Frank Bellaire Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox CSAS-Medically Managed Inpatient Treatment HFS 75.06 HFS 75.10 1498 1555 Lakeshore Mental Health, Inc. Brian Lukach 1119 Marshall Street Manitowoc, WI 54220 (920) 683-9906 Lakeshore Mental Health, Inc. 453 E. Brooklyn Street Chilton WI 53014 Manitowoc County Human Services Department Thomas Stanton 926 S. 8th Street Manitowoc, WI 54220 (920) 683-4261 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

Page 74 of 203 ified Provider Address, Contact, Phone 1557 Marco Services, Inc. Carol Wergin 1114 S. 11th Street Manitowoc, WI 542205217 (920) 684-0605 Initial ification: 10/10/90 Current: 10/1/02 County / State: Manitowoc Expires: 9/30/04 Frank Bellaire CSAS-Transitional Residential HFS 75.14 1591 Phoenix Behavioral Health Center, LLP Michael Vance 115 E. Waldo Boulevard Manitowoc, WI 54220 (920) 682-1131 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 54220 (920) 684-6644 2229 Blue Waters Family Counseling, S.C. Diane Berry 2215 Washington Street Manitowoc, WI 54220 (920) 683-3911 (920) 683-3411 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 54220 (920) 683-4261 Initial ification: 10/1/75 Current: 11/1/03 Expires: 10/31/05 County / State: Manitowoc Mental Health-Community Support Program Frank Bellaire HFS 63 2180 Courage to Change Recovery Initial ification: 1/7/00 County / State: Marathon Rae Ann Wichlacz Current: 11/1/03 106 Galvin Road Expires: 10/31/05 Steven Ojibway Abbotsford, WI 54405 (715) 223-0480 (715) 223-1611

Page 75 of 203 ified Provider Address, Contact, Phone 1153 Center for Human Development E. Lee Webster 631 Forest Street Wausau, WI 54403 (715) 842-0944 (715) 845-6477 Center for Human Development 302 N. St. Joseph's Avenue Marshfield WI 54449 Center for Human Development 2417 Post Road, Bldg. A, #2 Stevens Point WI 54481 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 54401 (715) 843-1868 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 54403 (715) 845-7175 (715) 845-7142 Elmergreen Associates, Inc. 524 Morse Street Antigo WI 54409 Elmergreen Associates, Inc. 408 Third Street, Suite 202 Wausau WI 54403 Elmergreen Associates, Inc. 3205 Terrace Court Wausau WI 54401 Elmergreen Associates, Inc. 333 S. Central Marshfield WI 54449 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 54403 (715) 842-3346 Initial ification: 11/1/79 Current: 1/1/04 County / State: Marathon Expires: 12/31/05 Steven Ojibway

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: 9/1/03 3205 Terrace Court Expires: 8/31/05 Steven Ojibway Wausau, WI 544014915 (888) 867-4840 Lutheran Counseling and Family Services 1919 Wyatt Street Stevens Point WI 54481 Lutheran Counseling and Family Services 300 Lincoln Street Antigo WI 54409 Lutheran Counseling and Family Services 107 N. Main Street Merrill WI 54452 1545 Lutheran Social Services of Wisconsin & Upper Michigan-Wausau John Youngerberg 516 Mc Clellan Street Wausau, WI 54403 (715) 842-5577 (715) 845-8483 Lutheran Social Services of WI & Upper MI-Wausau 300 Logan Street Merrill WI 54452 Lutheran Social Services of WI & Upper MI-Wausau 235 N. Stevens Street Rhinelander WI 54501 Lutheran Social Services of WI & Upper MI-Wausau 1052 Main Street, #6B Stevens Point WI 54481 Lutheran Social Services of WI & Upper MI-Wausau 207 S. Cherry Avenue Marshfield WI 54449 Initial ification: 6/1/82 Current: 7/1/03 Expires: 6/30/05 County / State: Marathon Steven Ojibway

Page 77 of 203 1677 ified Provider Address, Contact, Phone North Central Health Care Facilities Tim Steller 1100 Lake View Drive Wausau, WI 54403 (715) 848-4600 Initial ification: 10/1/75 Current: 3/1/03 Expires: 2/28/05 County / State: Marathon Steven Ojibway Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Emergency HFS 34.3 Service 3 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Day Treatment HFS 75.12 1909 The Centre For Well-Being, Inc. Sharon Muttonen 2801 N. 7th Street, #400 Wausau, WI 54403 (715) 848-5022 (715) 848-2030 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 54403 (715) 842-3913 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 544014187 (715) 847-2215 (715) 847-2209 Initial ification: 3/1/01 Current: 3/1/04 Expires: 2/28/05 County / State: Marathon Steven Ojibway Mental Health-Inpatient HFS 61.71 2297 North Central Health Care Facilities Community Support Program Tim Steller 506 N. Sixth Street Wausau, WI 54403 (715) 848-4540 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

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: 2/1/03 1720 Merrill Avenue #401, Box 12 Expires: 1/31/05 Steven Ojibway Wausau, WI 54401 (715) 675-3888 2387 Affiliated Family Psychiatry of Wausau, S.C. Initial ification: 7/1/02 County / State: Marathon Juan Fernandez, III Current: 7/1/02 2600 Stewart Ave, Suite 270 Expires: 8/31/03 Steven Ojibway Wausau, WI 544017404 (715) 842-8600 (715) 849-4056 2404 Northwest Counseling and Guidance Marathon County Journey Program Jill Chaffee 2805 Emery Drive Wausau, WI 54401 (715) 675-5454 (715) 675-0545 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 54403 (715) 845-3631 (715) 845-1977 Initial ification: 1/13/03 Current: 8/1/03 County / State: Marathon Expires: 7/31/05 Steven Ojibway CSAS-Narcotic Treatment HFS 75.15 2438 North Central Health Care Facilities Community Support Program F.O.R. Initial ification: 3/1/03 County / State: Marathon Tim Stellar Current: 3/1/03 540 S. 3rd Avenue Expires: 2/28/05 Steven Ojibway Wausau, WI 54401 Mental Health-Community Support Program HFS 63 2439 North Central Health Care Facilities Initial ification: 3/1/03 County / State: Marathon Tim Stellar Current: 3/1/03 540 S. 3rd Avenue Expires: 2/28/05 Steven Ojibway Wausau, WI 54401

Page 79 of 203 ified Provider Address, Contact, Phone 2464 Charis Counseling, LLC Initial ification: 9/1/03 County / State: Marathon David Holmes Current: 1/1/04 2620 W. Stewart Avenue, Ste 318 Expires: 8/31/05 Steven Ojibway Wausau, WI 544014162 (715) 848-0525 (715) 848-8665 2485 WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling Initial ification: 6/1/03 County / State: Marathon Clara Raindille Current: 6/1/04 308 Grand Avenue, #104 Expires: 5/31/06 Steven Ojibway Wausau, WI 54403 (715) 842-5802 Immanuel Lutheran Church 420 Lincoln Street Medford WI 544511447 St. Paul Lutheran Church 311-14th Avenue S. Wisconsin Rapids W 544952402 Zion Lutheran Church 160 N. Brown Street Rhinelander WI 545013162 2503 Associated Counseling Services, Inc. Initial ification: 3/1/04 County / State: Marathon Carol Wesley Current: 7/1/04 614 N. 3rd Avenue Expires: 2/28/05 Steven Ojibway Wausau, WI 54402 (715) 848-3031 (715) 843-9633 1141 Catholic Charities Diocese of Green Bay, Inc. Joann Liska 844 Pierce Avenue, Suite 102 Marinette, WI 54143 (715) 735-7802 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 54143 (715) 735-9536 Initial ification: 12/8/97 Current: 1/1/03 County / State: Marinette Expires: 12/31/04 Frank Bellaire

Page 80 of 203 1559 ified Provider Address, Contact, Phone Marinette County Health & Human Services Department/ADAPT L. William Topel 2500 Hall Avenue, #A Marinette, WI 54143 (715) 732-7760 Initial ification: 1/1/82 Marinette County Health & Human Services Dept/ADAPT 1201 Jackson Street Niagara WI 54151 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 75.05 2113 Libertas of Marinette Patrick Ryan 1712 Dunlap Square Bldg, #5 Marinette, WI 54143 (715) 735-0095 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 54143 (715) 732-7762 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 54143 (715) 732-7762 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 54143 (715) 732-7760 Initial ification: 1/1/82 Current: 12/1/03 Expires: 11/30/05 County / State: Marinette Mental Health-Community Support Program Frank Bellaire HFS 63 2233 Bellin Behavioral Health - Peshtigo Stacie Herzog 441 French Street Peshtigo, WI 54157 (715) 582-9949 (715) 582-4464 Initial ification: 6/23/00 Current: 4/1/04 County / State: Marinette Expires: 3/31/06 Frank Bellaire

Page 81 of 203 1560 ified Provider Address, Contact, Phone Marquette Chemical Dependency Services Bruce Nicholas N3829 Hwy. 22 Montello, WI 53949 (608) 297-2085 Initial ification: 3/1/81 Current: 5/1/04 Expires: 4/30/06 County / State: Marquette Frank Bellaire CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 1693 Northland Community Services Initial ification: 1/1/83 Jon Matthew Current: 11/1/03 161 Spring Street Expires: 10/31/05 Westfield, WI 53964 (608) 296-2139 Northland Community Services 139 S. Main P.O. Box 1178 Adams WI 53910 County / State: Marquette Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 2262 Northland Community Services Community Support Program Jon Matthew 161 Spring Street Westfield, WI 53964 (608) 296-2139 Initial ification: 1/1/83 Current: 11/1/03 Expires: 10/31/05 County / State: Marquette Mental Health-Community Support Program Frank Bellaire HFS 63 1587 Menominee County Health & Human Services Department Barbara Nelson P.O. Box 280 Courthouse Lane Keshena, WI 54135 (715) 799-3861 (715) 799-3517 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 75.05 1588 Menominee Tribal Clinic, Mental Health Services Jerry Waukau P.O. Box 970 Keshena, WI 54135 (715) 799-5451 Initial ification: 3/3/93 Current: 3/1/04 Expires: 2/28/06 County / State: Menominee Frank Bellaire

Page 82 of 203 2228 ified Provider Address, Contact, Phone Menominee County Health & Human Services Department CSP Barbara Nelson P.O. Box 280 Courthouse Lane Keshena, WI 54135 (715) 799-3861 Initial ification: 11/1/94 Current: 5/1/03 Expires: 4/30/05 County / State: Menominee Mental Health-Community Support Program Frank Bellaire HFS 63 1277 Great Lakes Recovery Centers- Dickinson/Iron Counties Bruce Suardini Downtown Plaza 427 S. Stephenson Avenue Iron Mountain, MI 49801 (906) 774-2561 (906) 774-2597 Initial ification: 1/1/79 Current: 7/1/04 Expires: 9/30/04 County / State: Michigan Steven Ojibway CSAS-Prevention HFS 75.04 2516 Great Lakes Recovery Centers Bruce Suardini Genesee Street Mall 117 W. Genesee Iron River, MI 499351497 (906) 265-9911 (906) 265-9961 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 49858 (906) 864-2590 (906) 864-2590 Initial ification: 7/1/97 Current: 7/1/02 Expires: 5/31/04 County / State: Michigan Steven Ojibway 1730 Pathways Counseling Center Gretchen Fincke 13105 W. Bluemound Road, #100 Brookfield, WI 530088046 (414) 774-4111 (414) 774-3977 Initial ification: 12/1/85 Current: 7/1/04 Expires: 8/31/04 2532 Rogers Memorial Hospital - Child & Adolescent Day Treatment Jody Keskey 4600 Schroeder Drive Brown Deer, WI 532231469 (414) 355-9000 (414) 355-9665 Initial ification: 7/13/04 Current: 7/13/04 Expires: 6/30/05 Mental Health-Day Treatment for HFS Children 2 40.11(2)(b) CSAS-Day Treatment HFS 75.12

Page 83 of 203 1867 ified Provider Address, Contact, Phone St. Luke's Medical Center, Inc. - South Shore Joy Mead-Meucci 5900 S. Lake Drive, 4th Floor Cudahy, WI 53110 (414) 489-4094 Initial ification: 11/1/89 Current: 10/1/03 Expires: 9/30/05 Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Day Treatment HFS 75.12 1455 Kairos Counseling Clinic - A Division of Christos Ministries, Inc. Gary Heath 12970 W. Bluemound Road, #105 Elm Grove, WI 53122 (414) 778-1266 (414) 778-1594 Initial ification: 12/1/91 Kairos Counseling Clinic - A Division of Christos Ministrie 255 W. Lincoln Avenue Hartford WI 53027 Kairos Counseling Clinic - A Division of Christos Ministrie N48 W31340 Hill Road Hartland WI 53029 Kairos Counseling Clinic - A Division of Christos Ministrie 140-7th Avenue West Bend WI 53095 Kairos Counseling Clinic - A Division of Christos Ministrie 10606 N. Pt. Washington Road Mequon WI 53092 Current: 12/1/03 Expires: 11/30/05 1650 Aurora Behavioral Health - Franklin Katherine Connelly 9200 W. Loomis Road, #103 Franklin, WI 53132 (414) 425-1250 (414) 454-6536 Initial ification: 5/2/94 Current: 7/1/04 Expires: 8/31/04 1733 Performance Enhancement Health Services, SC William Schacht 7400 W. Rawson Avenue, #213 Franklin, WI 53132 (414) 427-7347 (414) 427-7188 Performance Enhancement Health Services, SC 7418 Tichigan Road Waterford WI 53185 Initial ification: 3/11/91 Current: 4/28/03 Expires: 1/31/05

Page 84 of 203 ified Provider Address, Contact, Phone 1123 The Cambridge Group Paul Smerz 6110 N. Port Washington Road Glendale, WI 53217 (414) 332-7400 (414) 963-6866 Initial ification: 12/1/90 Current: 10/1/03 Expires: 9/30/04 1402 Health Psychology Associates Initial ification: 5/1/91 Geraldine Banks Current: 7/1/04 5900 N. Pt. Washington Rd., #230 Expires: 4/30/06 Glendale, WI 53217 (414) 962-5850 (414) 962-4052 1775 Reconnections Hal Dessel 921 W. Glendale Avenue Glendale, WI 53209 (414) 221-9293 (414) 221-9532 Initial ification: 12/9/96 Current: 5/1/04 Expires: 12/31/05 1836 Shorehaven Counseling Associates, Inc. Initial ification: 7/1/83 Don Rosenberg Current: 5/1/04 7711 N. Port Washington Road Expires: 2/28/06 Glendale, WI 53217 (414) 540-2170 CSAS-Day Treatment HFS 75.12 Shorehaven Counseling Associates, Inc. 8405 W. Forest Home Ave., #104 Greenfield WI 53228 Shorehaven Counseling Associates, Inc. 2314 N. Grandview, #309 Waukesha WI 53188 1886 Stress Management & Mental Health Clinics Craig Modell 5225 N. Ironwood Lane, #102 Glendale, WI 53217 (414) 962-9156 (414) 962-4356 Initial ification: 10/1/87 Current: 2/1/03 Expires: 9/30/04 1057 Aro Counseling Centers, Inc. Kathy Murawski 4325 S. 60th Street, #3 Greenfield, WI 53220 (414) 546-0618 (414) 546-0678 Initial ification: 10/24/96 Current: 11/1/03 Expires: 10/31/05 CSAS-Day Treatment HFS 75.12

Page 85 of 203 ified Provider Address, Contact, Phone 1175 Child and Family Therapeutic Systems Paul Krepel 4848 S. 76th Street, #201 Greenfield, WI 532204361 (414) 325-7741 Child and Family Therapeutic Systems 211 N. Rochester Street Mukwonago WI 53149 Initial ification: 1/23/97 Current: 4/1/04 Expires: 1/31/06 1238 Cornerstone Counseling Services, Inc. Scott Allen 4811 South 76th Street, #200 Greenfield, WI 53220 (414) 817-0441 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: 9/26/03 4402 S. 68th Street, #100 Expires: 11/30/04 Greenfield, WI 53220 (414) 321-4411 (414) 321-0552 2483 Parkview Counseling Associates, LLC Dennis Shirk 9910 W. Layton Avenue, #1 Greenfield, WI 53228 (414) 529-3000 (474) 525-2798 Initial ification: 9/30/03 Current: 9/30/03 Expires: 9/30/04 1145 Cedar Creek Family Counseling, Inc. Buckley Meade 9415 W. Forest Home Ave., #108 Hales Corners, WI 53130 (414) 427-4884 (414) 427-4889 Initial ification: 9/15/92 Current: 3/1/04 Expires: 9/30/04 1547 M. Burton Psychological Services Marianne Burton 11035 W. Forest Home Avenue Hales Corners, WI 53130 (414) 425-2258 (414) 546-7715 Initial ification: 11/1/94 Current: 1/1/04 Expires: 10/31/05

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 531300903 (414) 529-2591 Initial ification: 4/15/97 Current: 5/1/04 Expires: 4/30/06 2016 Wolf Family & Child Clinic Initial ification: 1/1/92 Dennis Wolf Current: 3/1/03 12065 W. Janesville Road Expires: 12/31/04 Hales Corners, WI 53130 (414) 425-2655 1607 Mequon Clinical Associates Initial ification: 1/1/93 K. Maria Kramer Current: 1/1/04 11501 N Pt Washington Road, #207 Expires: 12/31/05 Mark Isaacs Mequon, WI 53092 (414) 241-7778 (414) 241-1012 2356 Life Adventure Therapies Melissa Summerfield 10303 N. Pt. Washington Rd.,#204 Mequon, WI 53092 (262) 241-9881 (262) 241-9884 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 53210 Milwaukee Women's Center Behavioral Health Clinic II Initial ification: Current: 5444 W. Fond du Lac Avenue Expires: Milwaukee, WI 532161349 1000 A Centre For Positive Development Initial ification: 8/1/79 Alex Walkowiak Current: 12/1/02 721 S. 2nd Street Expires: 8/31/04 Milwaukee, WI 53204 (262) 243-9027

Page 87 of 203 ified Provider Address, Contact, Phone 1006 Acacia Clinic, Inc. Deirdre Kozlowski 6040 W Lisbon Avenue, #102 Milwaukee, WI 53210 (414) 871-9111 (414) 871-9121 Acacia Clinic, Inc. 2931 S. Kinnickinnic Milwaukee WI 53207 Acacia Clinic, Inc. 1415 Dopp Street Waukesha WI 53188 Acacia Clinic, Inc. 14135 N. Cedarburg Road Cedarburg WI 53012 Initial ification: 10/1/92 Current: 3/1/04 Expires: 9/30/05 1011 16th Street Behavioral Health Center Paul West 1032 S. 16th Street Milwaukee, WI 53204 (414) 672-3145 Initial ification: 10/15/97 Current: 1/1/04 Expires: 10/31/05 1030 Allied Mental Health/ Rehabilitation Clinics James Paquette 4425 W. Woolworth Avenue Milwaukee, WI 53218 (414) 353-8111 Allied Mental Health/ Rehabilitation Clinics 10125 W. North Avenue Wauwatosa WI 53226 Initial ification: 12/1/88 Current: 3/1/03 Expires: 10/31/04 1036 American Indian Council on Alcoholism Shirley LaFleur 2240 W. National Avenue Milwaukee, WI 53204 (414) 671-2200 (414) 671-4570 Initial ification: 10/1/92 Current: 10/1/03 Expires: 9/30/04 CSAS-Prevention HFS 75.04 1038 Andrew W. Kane & Associates, S.C. Initial ification: 6/1/82 Andrew Kane Current: 8/1/04 2815 N. Summit Avenue Expires: 9/30/04 Milwaukee, WI 53211 (414) 964-6449 (414) 964-9814

Page 88 of 203 ified Provider Address, Contact, Phone 1042 American Behavioral Clinics, SC - Bluemound Clinic Initial ification: 7/1/90 Deana Ohman Current: 5/1/04 9720 W. Bluemound Road Expires: 1/31/06 Milwaukee, WI 53226 (414) 774-1794 1047 American Behavioral Clinics - Southwest Clinic Deana Ohman 7330 W. Layton Avenue Milwaukee, WI 53220 (414) 281-1677 Initial ification: 10/1/76 Current: 5/1/04 Expires: 1/31/06 1069 Associated Mental Health Consultants, Inc. Initial ification: 4/1/82 Bernadette DeMuri Current: 7/1/04 2600 N. Mayfair Road, #305 Expires: 5/31/06 Milwaukee, WI 53226 (414) 257-0233 1072 Associated Therapies Initial ification: 4/1/92 Julaine Siewert Current: 12/1/02 8989 N. Pt. Washington Rd #220 Expires: 7/31/04 Milwaukee, WI 532171633 (414) 352-3336 Associated Therapies 17160 W. North Avenue Brookfield WI 53005 1087 Behavioral Consultants, Inc. Initial ification: 5/1/84 Cathy Crandell Current: 2/1/03 1428 N. Farwell Avenue, #210 Expires: 11/30/04 Milwaukee, WI 53202 (414) 271-5577 1093 Bell Therapy, Inc. Community Support Program Initial ification: 9/1/90 Anne Jones Current: 4/1/03 4929 W. Fond du Lac Avenue Expires: 3/31/05 Milwaukee, WI 53216 (414) 871-6122 Mental Health-Community Support Program HFS 63

Page 89 of 203 ified Provider Address, Contact, Phone 1095 Bell Therapy Community Support Program South Initial ification: 3/3/97 Anne Jones Current: 8/1/03 634 W. Mitchell, 1st Floor Expires: 7/31/05 Milwaukee, WI 53204 (414) 383-4486 (414) 383-4522 Mental Health-Community Support Program HFS 63 1096 Bell Therapy, Inc. - Day One Jill Letizia 4065 N. 35th Street Milwaukee, WI 532161705 (414) 445-9180 Initial ification: 10/1/87 Current: 10/1/02 Expires: 9/30/04 Mental Health-Day Treatment HFS 61.75 1102 Belwood Ltd./Bell Therapy Initial ification: 5/1/78 Jill Letizia Current: 5/1/04 839 N. 27th Street Expires: 1/31/06 Milwaukee, WI 53208 (414) 937-3900 Mental Health-Day Treatment HFS 61.75 1121 Calyx Counseling Center Initial ification: 1/1/92 Florence Selder Current: 4/1/03 1840 N. Farwell Avenue, 305 Expires: 1/31/05 Milwaukee, WI 53202 (414) 276-4664 1127 Career Youth Development, Inc. Janetta Robinson 2603 N. Martin Luther King Dr. Milwaukee, WI 53212 (414) 263-8352 (414) 264-2264 Initial ification: 2/15/93 Current: 6/1/04 Expires: 10/31/04 CSAS-Day Treatment HFS 75.12 1132 Catholic Charities - Milwaukee Initial ification: 6/1/81 John Nesseth Current: 7/1/04 2021 N. 60th Street Expires: 4/30/06 Milwaukee, WI 53208 (414) 771-2881 (414) 771-2881 1144 Cedar Creek Counseling Center Initial ification: 5/7/96 Buckley Meade Current: 5/1/03 6815 W. Capitol Drive, #301 Expires: 4/30/04 Milwaukee, WI 53216 (414) 536-4382

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 53216 (414) 442-4702 Initial ification: 10/1/75 Current: 3/24/03 Expires: 9/30/03 1176 Child, Adolescent & Family Counseling Center Maximo Cueto, Jr. 2745 W. Layton Avenue, #102 Milwaukee, WI 53221 (414) 282-1152 Initial ification: 12/11/88 Current: 1/1/02 Expires: 12/31/03 1177 Child, Adolescent, Family & Marriage Therapy Associates Initial ification: 3/1/95 Emma Williams Current: 4/1/03 152 W. Wisconsin Avenue, #610 Expires: 3/31/05 Milwaukee, WI 53203 (414) 272-5005 1179 Children's Hospital of Wisconsin Tracy Oerter Mail Station 900 9000 W. Wisconsin Avenue Milwaukee, WI 53226 (414) 266-3344 Initial ification: 10/1/78 Current: 5/1/04 Expires: 4/30/06 1187 Children's Service Society of Wisconsin Initial ification: 1/1/83 Ronald Pupp Current: 3/1/04 1212 S. 70th Street Expires: 12/31/05 Milwaukee, WI 53214 (414) 453-1400 1200 Cindy Milner Clinic Initial ification: 10/1/84 Cindy Milner Current: 12/1/03 1228 E. Brady Street Expires: 9/30/05 Milwaukee, WI 53202 (414) 278-8513 1205 AJA Enterprise, LLC - AJA Counseling Center Bevelyn Johnson 8725 West Mill Road Milwaukee, WI 53209 (414) 355-7017 Initial ification: 10/16/96 Current: 8/1/04 Expires: 4/30/06

Page 91 of 203 ified Provider Address, Contact, Phone 1215 Columbia Hospital Caryl Zaar 2025 E. Newport Avenue Milwaukee, WI 53211 (414) 961-3683 (414) 961-4112 Initial ification: 11/1/82 Current: 6/1/04 Expires: 5/31/06 Mental Health-Inpatient HFS 61.71 1233 Comprehensive Clinical & Consulting Services Initial ification: 1/1/82 Itzhak Matusiak Current: 7/1/04 7161 N. Port Washington Rd, #102 Expires: 8/31/04 Milwaukee, WI 53217 (414) 352-7682 1235 Comprehensive Mental Health Services, SC Bruce Axelrod 5150 N. Port Washington Rd., #200 Milwaukee, WI 53217 (414) 332-7333 Initial ification: 11/1/81 Current: 3/1/03 Expires: 10/31/04 1260 Creative Consulting and Counseling Services Initial ification: 2/1/84 Jim Morningstar Current: 12/1/02 4200 W. Good Hope Road Expires: 7/31/04 Milwaukee, WI 532092250 (414) 351-5770 Catherine C. Gawlick, MS 5526 W. Elmhurst Drive Mequon WI 53092 Creative Consulting and Counseling Services 2728 N. Prospect Milwaukee WI 53211 Creative Consulting and Counseling Services 4900 Sussex Lane Greendale WI 53129 Transformations Lakeside 2147 Pine Ridge Road North Oostburg WI 53070 Wawatosa Office Creative Consulting & Counseling Servic 7514 Hillcrest Drive Wauwatosa WI 53213

Page 92 of 203 1275 ified Provider Address, Contact, Phone Dennis C. Hill Harm Reduction Center Amy Polacheck 820 N. Plankinton Avenue Milwaukee, WI 53203 (414) 342-4333 Initial ification: 2/11/97 Current: 5/1/04 Expires: 2/28/05 CSAS-Day Treatment HFS 75.12 1280 Diverse Clinical Services Associates Basilisa Virella 633 W. Wisconsin Avenue, #330 Milwaukee, WI 53202 (414) 347-4063 Initial ification: 1/8/98 Current: 5/1/03 Expires: 1/31/05 1291 Eastlake Counseling/Consulting Lori Vance 930 E. Knapp Street Milwaukee, WI 53202 (414) 272-3450 Initial ification: 4/1/88 Current: 6/1/04 Expires: 3/31/06 1307 Exodus Counseling Center Initial ification: 8/1/90 D. Schott Stoner Current: 12/1/02 North Office - Suite 150 5900 N. Port Washington Expires: 7/31/04 Road Milwaukee, WI 53217 (414) 964-4357 1322 Family Development Center Julie Murdock 4757 N. 76th Street Milwaukee, WI 53218 (414) 358-4170 Family Development Center 151 S. 84th Street Milwaukee WI 53214 Initial ification: 1/1/91 Current: 2/1/03 Expires: 1/31/05 1335 Aurora Behavioral Health - North Shore Kate Connelly 6980 N. Port Washington Rd, #202 Milwaukee, WI 53217 (414) 351-7100 Initial ification: 8/1/85 Current: 8/1/03 Expires: 7/31/05

Page 93 of 203 ified Provider Address, Contact, Phone 1336 Aurora Family Service, Inc. Initial ification: 5/1/77 JoEl Demant Current: 4/4/03 3200 W. Highland Boulevard Expires: 7/31/04 Milwaukee, WI 53208 (414) 342-4560 (414) 345-3094 Aurora Wiselives 8320 W Bluemound Road, #125 Wauwatosa WI 53213 Clark Square Family Health Center 1818 W. National Avenue Milwaukee WI 53204 Mitchell Point Family Health Center 1225 W Mitchell Street, #200 Milwaukee WI 53208 Wisconsin Avenue Family Care Center 1834 W Wisconsin Avenue Milwaukee WI 53233 1349 MFM Behavioral Medicine Clinic/A Division of MFM Medical Enterprises Initial ification: 3/9/98 Ivory Young Current: 12/2/03 3953 N. 76th Street Expires: 3/31/04 Milwaukee, WI 53222 (414) 535-0072 CSAS-Day Treatment HFS 75.12 1377 Genesis Behavioral Services Genesis Milwaukee Outpatient-Central John Monacelli 2040 W. Wisconsin Avenue, #560 Milwaukee, WI 53233 (414) 344-3406 Initial ification: 12/1/87 Current: 7/1/04 Expires: 11/30/05 CSAS-Day Treatment HFS 75.12 1383 Genesis Behavioral Services, Inc. Men's AODA Residential John Monacelli 2436 N. 50th Street Milwaukee, WI 53210 (414) 442-5990 Initial ification: 7/15/92 Current: 8/1/04 Expires: 7/31/06 CSAS-Transitional Residential HFS 75.14 1384 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 53217 (414) 962-2284

Page 94 of 203 ified Provider Address, Contact, Phone 1395 Hawkins Donovan & Associates, Ltd. Initial ification: 2/1/85 Jo Hawkins Donovan Current: 7/1/04 705 E. Silver Spring Drive Expires: 5/31/06 Milwaukee, WI 53217 (414) 271-5848 (414) 271-7096 1421 Howard Jansen Mental Health Day Treatment Program Nathan Zeiger 3903 W. Lisbon Avenue Milwaukee, WI 53208 (414) 342-4060 (414) 342-3663 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 53202 (414) 273-2220 (414) 273-2223 ICF Consultants, Inc. 700 Pilgrim Parkway Elm Grove WI 53005 Initial ification: 10/1/88 Current: 1/1/04 Expires: 10/31/05 1432 Inner Dynamics Deborah Lau Schingen 230 W. Wells Street, #309 Milwaukee, WI 53203 (414) 276-3856 Inner Dynamics 331 E. Puetz Road Oak Creek WI 53154 Wauwatosa Presbyterian Church 2366 N. 80th Street Wauwatosa WI 53213 Initial ification: 1/30/80 Current: 5/1/03 Expires: 3/31/05 1443 Islamic Family & Social Services Waheedah Al-Amin 5150 N. 32nd Street Milwaukee, WI 53209 (414) 462-4697 Initial ification: 8/17/95 Current: 7/1/04 Expires: 12/31/04 CSAS-Day Treatment HFS 75.12

Page 95 of 203 ified Provider Address, Contact, Phone 1445 John M. Ivanoff Clinic, SC Initial ification: 6/1/82 John Ivanoff Current: 12/1/02 633 W. Wisconsin Avenue, #1810 Expires: 11/30/04 Milwaukee, WI 53203 (414) 271-3322 1450 Jewish Family Services Initial ification: 6/1/79 Joyce Appel Current: 6/1/04 1300 N. Jackson Street Expires: 8/31/04 Milwaukee, WI 53202 (414) 390-5800 (414) 390-9380 Jewish Family Services 5900 N. Pt. Washington Rd., #200 Milwaukee WI 53217 1456 Kano Psychotherapy Initial ification: 9/1/94 Catherine Arney Current: 9/1/03 1301 N. Astor Street Expires: 8/31/05 Milwaukee, WI 53202 (414) 291-9184 1462 Genesis Detoxification Center Initial ification: 7/1/88 John Monacelli Current: 5/1/04 1218 W. Highland Boulevard Expires: 8/31/04 Milwaukee, WI 53233 (414) 342-6200 CSAS-Medically Monitored Residential Detox HFS 75.07 1497 Lakeshore Clinic, Ltd. Kathleen Neville 3970 N. Oakland Avenue, #502 Milwaukee, WI 53211 (414) 332-9096 Lakeshore Clinic, Ltd./ Robert Dries, PhD 8112 W. Bluemound Road Milwaukee WI 53213 Lakeshore Clinic, Ltd./Karen Maroda, PhD 825 N. Jefferson St., #325 Milwaukee WI 53202 Lakeshore Clinic, Ltd./Patricia D'Auria, MS 620 Maple Avenue Waukesha WI 53186 Initial ification: 11/1/77 Current: 7/1/04 Expires: 5/31/06

Page 96 of 203 ified Provider Address, Contact, Phone 1509 Lighthouse Clinic Initial ification: 1/1/90 Hava Mendelberg Current: 2/18/03 2577 N. Downer Avenue, #215 Expires: 1/31/05 Milwaukee, WI 53211 (414) 964-9200 (414) 964-4816 Lighthouse Clinic 11514 N. Port Washington Mequon WI 53092 Lighthouse Clinic 3305 N 124th Street Brookfield WI 53005 1534 Lutheran Social Services-Lapham Initial ification: 7/1/77 Leslie Luther Current: 12/1/02 1545 S. Layton Boulevard Expires: 7/31/04 Milwaukee, WI 53215 (414) 645-8525 Lutheran Social Services-Racine 2711-19th Street Racine WI 53403 Lutheran Social Services-Waukesha W226 N555A E. Mound Street Waukesha WI 53186 1537 Lutheran Social Services-Metro Counseling Office Initial ification: 6/1/83 Meg Groves Current: 12/1/02 6101 W. Vliet Street, #100 Expires: 6/30/04 Milwaukee, WI 53213 (414) 778-0306 (414) 778-0142 1546 M & S Clinical Services, Inc. Mark Fossie 2821 N 4th Street, #516 Milwaukee, WI 53212 (414) 444-3188 Initial ification: 12/4/96 Current: 7/1/04 Expires: 2/28/06 1573 Matt Talbot Recovery Center Initial ification: 2/7/97 Sam Marjanov Current: 6/1/04 2613 W. North Avenue Expires: 2/28/06 Milwaukee, WI 53205 (414) 342-5474 (414) 342-5476 CSAS-Transitional Residential HFS 75.14

Page 97 of 203 1580 ified Provider Address, Contact, Phone Medical College of Wisconsin - Campus Clinic Psychiatry Constance Moynihan 1155 N. Mayfair Road Milwaukee, WI 53226 (414) 456-8900 (414) 456-6285 Initial ification: 7/1/96 Current: 6/1/04 Expires: 5/31/06 1619 Meta III Francine Feinberg 3924-26 N. Maryland Avenue Milwaukee, WI 53211 (414) 962-6577 Initial ification: 2/1/95 Current: 7/1/04 Expires: 9/30/04 CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1620 Meta IV Francine Feinberg 2626 N. Bremen Street Milwaukee, WI 53211 (414) 962-1200 Initial ification: 2/1/95 Current: 7/1/04 Expires: 9/30/04 CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1624 Midwest Center for Human Services- Milwaukee, LLC Jack Kaufman 817 N. Marshall Street Milwaukee, WI 53202 (414) 224-0800 Midwest Center for Human Services-Milwaukee, LLC 5546 N. Lydell Avenue Whitefish Bay WI 53217 Midwest Center for Human Services-Milwaukee, LLC 890 Elm Grove Road Elm Grove WI 53122 Initial ification: 7/1/91 Current: 3/1/03 Expires: 11/30/04

Page 98 of 203 ified Provider Address, Contact, Phone 1629 Milwaukee Center For Independence Initial ification: 4/1/81 Mark Voelz Current: 12/1/02 1339 N. Milwaukee Street Expires: 8/31/04 Milwaukee, WI 53202 (414) 272-9278 (414) 272-7159 Pro Mark Clinic 4380 N. Richards Street Milwaukee WI 53212 Southeast Campus 3333 S. Howell Avenue Millwaukee WI 53207 Westside Senior Day Center 5290 W. Center Street Milwaukee WI 53210 1630 Milwaukee Center For Independence CSP Initial ification: 5/1/95 Mark Voelz Current: 8/1/04 4200 N. Holton Street, #105 Expires: 7/31/05 Milwaukee, WI 53212 (414) 272-9238 Mental Health-Community Support Program HFS 63 1634 Milwaukee County Behavioral Health Division Chris Morano 9501 Watertown Plank Road Milwaukee, WI 53226 (414) 257-7611 (414) 257-7575 Initial ification: 11/1/96 Current: 1/1/04 Expires: 10/31/05 Mental Health-Emergency Service 3 HFS 34.3 1637 Milwaukee County Behavioral Health Division-Downtown CSP Initial ification: 5/1/90 Krista Doughty Current: 5/1/03 734 N. 4th Street, #300 Expires: 4/30/05 Milwaukee, WI 53203 (414) 226-4040 Mental Health-Community Support Program HFS 63 1640 Milwaukee County Mental Health Division - Southside CSP Initial ification: 5/1/90 Susan Smith Current: 5/1/03 1201 West Mitchell Street Expires: 2/28/05 Milwaukee, WI 53204 (414) 649-4620 Mental Health-Community Support Program HFS 63

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: 7/1/04 2770 N. Fifth Street, # 206 Expires: 4/30/06 Milwaukee, WI 53212 (414) 286-8882 (414) 264-2414 1643 Milwaukee Health Service Systems Terry Jones 4383 N. 27th Street Milwaukee, WI 53216 (414) 871-8883 Initial ification: 11/1/86 Current: 8/1/04 Expires: 8/31/04 CSAS-Narcotic Treatment HFS 75.15 1644 Milwaukee Health Service Systems II Cynthia Newton 4800 S. 10th Street, Unit 1 Milwaukee, WI 53221 (414) 744-5370 (414) 671-6480 Initial ification: 10/1/95 Current: 8/1/03 Expires: 7/31/05 CSAS-Narcotic Treatment HFS 75.15 1645 Milwaukee Mental Health Services- Community Support Program Arthur Noble 4957 W. Fond du Lac Avenue Milwaukee, WI 53216 (414) 836-1960 (414) 873-4990 Initial ification: 2/18/97 Current: 8/1/03 Expires: 7/31/04 Mental Health-Community Support Program HFS 63 1652 Milwaukee Wellness Clinic, Inc. Marti Marino 4465 N. Oakland Avenue Milwaukee, WI 53211 (414) 961-1440 (414) 289-0980 Initial ification: 10/1/78 Current: 1/1/04 Expires: 10/31/05 1655 Moresco-Goniu Psychological Services Carol Moresco-Goniu 2400 S. 90th Street, #110 Milwaukee, WI 53227 (414) 545-9897 (414) 525-2088 Initial ification: 11/1/94 Current: 1/1/04 Expires: 10/31/05

Page 100 of 203 ified Provider Address, Contact, Phone 1657 United Community Center Initial ification: 5/1/80 Ricardo Cisneros Current: 1/21/04 1100 S. 6th Street, 3rd Floor Expires: 9/30/05 Milwaukee, WI 53204 (414) 643-8530 CSAS-Day Treatment HFS 75.12 1660 New Concept Self Development Center, Inc. Initial ification: 6/1/77 Geri McFadden Current: 7/24/03 4828 W. Fond du Lac Avenue Expires: 7/31/04 Milwaukee, WI 53216 (414) 444-1952 (414) 444-4349 New Concept Self Development Center 1531 W. Vliet Street Milwaukee WI 53205 1667 New Prospects Counseling Services Initial ification: 7/1/81 Sara Hoffman Current: 2/20/03 1219 N. Cass Street, 3rd Floor Expires: 7/31/04 Milwaukee, WI 53202 (414) 291-9487 New Prospects Counseling Services 930 E Knapp Street Milwaukee WI 53202 1670 Newport Professionals, Ltd. Jeffrey Taxman 2015 E. Newport Avenue, #801 Milwaukee, WI 53211 (414) 961-8100 Initial ification: 4/15/93 Current: 5/1/04 Expires: 8/31/04 1683 North Shore Psychotherapy Associates Initial ification: 7/1/80 Marc Ackerman Current: 2/1/03 5900 N. Port Washington Rd., #150 Expires: 9/30/04 Milwaukee, WI 53217 (414) 962-6764 (414) 962-6765 1697 Northshore Clinic & Consultants, Inc. Initial ification: 9/1/97 Jo Ellyn Schultz Current: 3/1/03 207 East Buffalo Street, #300 Expires: 8/31/04 Milwaukee, WI 53202 (414) 271-9191

Page 101 of 203 ified Provider Address, Contact, Phone 1722 Open Gate, Inc. Initial ification: 10/12/94 Jennifer Henry Current: 3/1/04 1131 N. 12th Street Expires: 9/30/05 Milwaukee, WI 53233 (414) 344-7582 (414) 344-9029 CSAS-Transitional Residential HFS 75.14 1727 Parkland Clinic Muni Patel 2600 N. Mayfair Road, #850 Milwaukee, WI 53226 (414) 771-2088 Initial ification: 3/15/91 Current: 7/1/04 Expires: 5/31/06 1751 Project Access, Inc. CSP C. Roger Zhong 809 S. 60th Street, #201 Milwaukee, WI 53214 (414) 456-1155 (414) 456-1655 Initial ification: 12/20/95 Current: 5/1/04 Expires: 2/28/06 Mental Health-Community Support Program HFS 63 1755 Psychiatric Consultants & Therapists, SC Initial ification: 8/1/82 Mary Jo Caminiti Current: 1/1/03 600 E. Mason, #401 Expires: 7/31/04 Milwaukee, WI 53202 (414) 224-3737 1760 Psychoanalytic Associates Mirella Sacilotto-Sharkey 1840 N. Farwell, #202 Milwaukee, WI 53202 (414) 223-4748 Initial ification: 4/15/90 Current: 7/1/04 Expires: 5/31/06 1777 Health Care For the Homeless of Milwaukee, Inc. CSP Mary Ann Patti 711 W. Capitol Drive, #205 Milwaukee, WI 53206 (414) 374-2400 Initial ification: 7/17/96 Current: 8/1/04 Expires: 6/30/05 Mental Health-Community Support Program HFS 63 1791 Renew Counseling Services Initial ification: 8/1/87 Bruce Croatt Current: 9/1/03 2040 W. Wisconsin Avenue, #520 Expires: 8/31/05 Milwaukee, WI 53233 (414) 933-8700 (414) 383-6759 CSAS-Day Treatment HFS 75.12 Renew Counseling Services 7400 W. Brown Deer Road Brown Deer WI 53223

Page 102 of 203 1792 ified Provider Address, Contact, Phone Renew Counseling Services Bruce Croatt 1225 W. Mitchell Street, #223 Milwaukee, WI 53204 (414) 383-4455 (414) 383-6759 Initial ification: 4/1/85 Current: 9/1/03 Expires: 8/31/05 1794 1838 Milwaukee Women's Center Behavioral Health Clinic Carol Mattner 611 N. Broadway St. #230 Milwaukee, WI 53202 (414) 272-6199 Milwaukee Women's Center Behavioral Health Clinic 5444 W Fond du Lac Avenue Milwaukee WI 53216 Silver Spring Psychotherapy Associates James Schwartz 5215 N. Ironwood Road, #115 Milwaukee, WI 532174908 (414) 332-4114 (414) 332-0855 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 53202 Current: 5/1/04 Expires: 7/31/04 CSAS-Day Treatment HFS 75.12 1839 Aurora Sinai Medical Center, Inc. Ardyce Peters 945 N. 12th Street Milwaukee, WI 53233 (414) 219-2000 (414) 219-5422 Initial ification: 10/1/87 Current: 3/1/02 Expires: 12/31/03 Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Day Treatment HFS 75.12

Page 103 of 203 ified Provider Address, Contact, Phone 1842 Covenant Behavioral Health - St. Michael Hospital Initial ification: 2/1/77 Carol Hess Current: 10/1/03 10335 W. Oklahoma Avenue, #203 Expires: 9/30/05 Milwaukee, WI 53227 (414) 327-1800 (414) 327-1154 Elmbrook Medical Clinic 1292 W Capitol Dr Pewaukee WI 53072 Fox Point Clinic 7950 N Port Washington Road Milwaukee WI 53217 Southeastern - Covenant Behavioral Health 2025 W. Oklahoma Avenue, #118 Milwaukee WI 53215 1846 St. Aemilians-Lakeside, Inc. Initial ification: 3/1/85 Michael Boeder Current: 12/1/02 8901 W. Capitol Drive Expires: 8/31/04 Milwaukee, WI 53222 (414) 463-1880 1870 Columbia St. Mary's Behavioral Medicine - Milwaukee Initial ification: 6/1/81 Tim Shininger Current: 1/1/04 2015 E. Newport Avenue, #409 Expires: 12/31/05 Milwaukee, WI 53211 (414) 961-3683 (414) 961-4112 Mental Health-Day Treatment HFS 61.75 Columbia West 10950 W. Capitol Drive Wauwatosa WI 53222 CSAS-Day Treatment HFS 75.12 Gateway Family Clinic 801 S. 70th Street Milwaukee WI 35214 St. Mary's Medical Clinic 10243 W. National Avenue West Allis WI 53227

Page 104 of 203 1875 ified Provider Address, Contact, Phone Covenant Behavioral Health - St. Michael Hospital Christine Sperry 2400 W. Villard Avenue Milwaukee, WI 53209 (414) 527-8878 Elmbrook Memorial Hospital 19333 W. North Avenue Brookfield WI 53045 Franciscan Woods 19525 W. North Avenue Brookfield WI 53045 Marian Franciscan Home 9632 W. Appleton Avenue Milwaukee WI 53225 St. Francis Hospital 3237 S. 16th Street Milwaukee WI 53215 St. Joseph Hospital 201 N Mayfair Road Milwaukee WI 53226 St. Josephs Hospital 5000 Chambers Street Milwaukee WI 53210 (414) 527-5284 Initial ification: 8/1/78 Current: 5/1/04 Expires: 2/28/06 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox 1876 St. Rose Youth & Family Center Angie Brunhart 3801 N. 88th Street Milwaukee, WI 53222 (414) 466-9450 (414) 466-0730 Initial ification: 7/5/85 Current: 9/1/04 Expires: 8/31/06 1908 1910 The Brown Stone Office of North Shore Psychotherapy Associates Ephraim Ciruzzi Frankel 1228 N. Astor Street, # 200 Milwaukee, WI 53202 (414) 272-0223 (414) 272-0273 The Counseling Center of Milwaukee, Inc. Cathy Arney 2038 N. Bartlett Avenue Milwaukee, WI 53202 (414) 271-2565 (414) 271-0102 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

Page 105 of 203 ified Provider Address, Contact, Phone 1928 Therapies East Associates Initial ification: 2/1/81 Laura Pagel Current: 7/1/04 1018 E. Knapp Street Expires: 4/30/06 Milwaukee, WI 53202 (414) 278-7980 (414) 278-8299 1930 Wisconsin Community Services Thurgood Marshall House Initial ification: 5/1/92 Margo Neimon Current: 7/1/04 1914 N. 6th Street Expires: 6/30/06 Milwaukee, WI 53212 (414) 264-7447 CSAS-Transitional Residential HFS 75.14 1933 Transitional Living Services, Inc. Initial ification: 9/1/85 David Dropkin Current: 6/1/03 1040 S. 70th Street Expires: 5/31/05 Milwaukee, WI 53214 (414) 476-9675 (414) 476-9615 1949 United Community Center Ricardo Cisneros 1011 S. 8th Street Milwaukee, WI 53204 (414) 643-8530 Initial ification: 10/3/97 Current: 3/1/04 Expires: 9/30/04 CSAS-Medically Monitored Treatment HFS 75.11 1955 Wisconsin Community Services Unlimited Potentials Initial ification: 6/1/86 Vicki Trone-Natwick Current: 2/3/04 230 W. Wells Street, Rm. 504 Expires: 9/30/05 Milwaukee, WI 53203 (414) 271-2512 (414) 223-0361 CSAS-Day Treatment HFS 75.12 1966 Village at Manor Park Mental Health Clinic Kathleen Kos 3023 S. 84th Street Milwaukee, WI 53227 (414) 607-4100 Initial ification: 6/11/97 Current: 10/1/02 Expires: 5/31/04 1986 White's Residential AODA Treatment Facility, Inc. Initial ification: 1/7/98 Lanell White Current: 10/1/03 2811 W. North Avenue Expires: 9/30/04 Milwaukee, WI 53208 (414) 536-7098 CSAS-Transitional Residential HFS 75.14

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: 6/1/04 2023 W. Wisconsin Avenue Expires: 5/31/05 Milwaukee, WI 53233 (414) 344-6111 (414) 344-2191 Mental Health-Community Support Program HFS 63 1993 Wisconsin Community Services- Forensic Community Support Program Jill Fuller 2023 W. Wisconsin Avenue Milwaukee, WI 53233 (414) 344-6111 Initial ification: 11/1/95 Current: 2/3/04 Expires: 10/31/04 Mental Health-Community Support Program HFS 63 1994 Wisconsin Community Services The Joshua Glover Center Initial ification: 5/1/90 Christopher Roberts Current: 7/1/04 2105 N. Booth Street Expires: 4/30/05 Milwaukee, WI 53212 (414) 263-4481 CSAS-Transitional Residential HFS 75.14 1995 Wisconsin Community Services Outpatient Mental Health Program Initial ification: 6/1/77 Colleen Dublinski Current: 7/1/04 2023 W. Wisconsin Avenue Expires: 8/31/04 Milwaukee, WI 53233 (414) 344-6111 2001 Wisconsin School of Professional Psychology/WSPP Psychology Center Kathleen Rusch 9120 W. Hampton Avenue, #90 Milwaukee, WI 53225 (414) 466-9777 Initial ification: 10/1/92 Current: 12/1/02 Expires: 8/31/04 2004 Willowglen Therapy Associates Initial ification: 8/1/92 Oriana Carey Current: 8/1/04 1744 N. Farwell Avenue Expires: 7/31/06 Milwaukee, WI 53202 (414) 225-4460 (414) 225-4475 Cornerstone 3109 W. Lisbon Avenue Milwaukee WI 53208

Page 107 of 203 2005 ified Provider Address, Contact, Phone Wisconsin Community Services Wings Program Margo Neimon 2303 W. Galena Street Milwaukee, WI 53205 (414) 342-4621 Initial ification: 7/1/94 Current: 7/1/04 Expires: 6/30/06 CSAS-Transitional Residential HFS 75.14 2022 Meta House/Riverwest Campus (South) Francine Feinberg 2618 N. Bremen Street Milwaukee, WI 53211 (414) 962-1200 Initial ification: 5/20/98 Current: 7/1/04 Expires: 9/30/04 CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 2024 Harambee Ombudsman - Imani II Sherman Hill 3614 N. 39th Street Milwaukee, WI 53216 (414) 264-7822 (414) 264-0846 Initial ification: 8/28/96 Current: 3/1/04 Expires: 11/30/04 CSAS-Transitional Residential HFS 75.14 2027 Access Mental Health Clinic Victor Likhterev 1442 N. Farwell Ave., #104 Milwaukee, WI 53202 (414) 276-3455 Initial ification: 7/1/98 Current: 8/1/04 Expires: 7/31/06 2033 Genesis Women's Residential Program John Monacelli 5427 W. Villard Street Milwaukee, WI 53218 (414) 111-1570 (414) 777-1565 Initial ification: 5/15/98 Current: 6/1/04 Expires: 5/31/06 CSAS-Transitional Residential HFS 75.14 2038 The D & S Healing Center Tracy Treacy 1924 N Farwell Avenue Milwaukee, WI 53202 (414) 224-1074 Initial ification: 8/1/98 Current: 12/1/02 Expires: 11/30/04 2101 Guest House Clinic: AODA Counseling Services Sharee Hurtgen 1216 N. 13th Street Milwaukee, WI 53205 (414) 345-3240 Initial ification: 7/15/92 Current: 12/1/02 Expires: 7/31/04

Page 108 of 203 ified Provider Address, Contact, Phone 2111 Helen F. Jurgensen, ICSW Initial ification: 5/1/99 Helen Jurgensen Current: 7/1/04 5508 W. Vliet Street Expires: 8/31/04 Milwaukee, WI 53208 (414) 476-1073 (414) 476-0223 2118 Ravenswood Clinic Anthony Werth, Jr. 2266 N. Prospect Avenue, #214 Milwaukee, WI 53202 (414) 224-0492 (414) 224-8112 Initial ification: 6/23/99 Current: 7/1/04 Expires: 8/31/04 2125 Transitional Living Services, Inc. Community Support Program Initial ification: 9/1/85 Jennifer Wittwer Current: 7/1/03 1040 S. 70th Street Expires: 6/30/05 Milwaukee, WI 53214 (414) 476-9675 (414) 476-9615 Mental Health-Community Support Program HFS 63 2156 St. Charles Youth and Family Services Initial ification: 1/1/98 Julie Murdoch Current: 4/1/02 151 S. 84th Street Expires: 12/31/04 Milwaukee, WI 53214 (414) 476-3710 (414) 778-5985 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 53202 (414) 962-1200 (414) 962-2305 Initial ification: 11/24/99 Current: 1/1/04 Expires: 11/30/05 CSAS-Day Treatment HFS 75.12 2196 Cornerstone Counseling Services, Inc. Scott Allen 10850 W. Park Place, #100 Milwaukee, WI 53224 (262) 789-1191 Initial ification: 2/22/00 Current: 3/1/04 Expires: 2/28/06 Mark Isaacs

Page 109 of 203 ified Provider Address, Contact, Phone 2207 The Kelley Clinic Initial ification: 5/1/99 Jane Kelley Current: 5/1/04 1216 N. Prospect Avenue Expires: 4/30/06 Milwaukee, WI 53202 (414) 271-9272 2210 White's Residential AODA Treatment Facility, Inc. Lanell White 4020 W. Burleigh Street Milwaukee, WI 53210 (414) 536-7098 Initial ification: 3/23/00 Current: 10/1/03 Expires: 9/30/04 CSAS-Transitional Residential HFS 75.14 2216 Sue Sittler Nelson, MSW Psychotherapy Associates Sue Nelson 828 North Broadway, #510 Milwaukee, WI 53202 (414) 765-0665 Initial ification: 4/14/00 Current: 7/1/04 Expires: 4/30/06 2225 Directors of Continuation Services, Inc. Initial ification: 5/5/00 Thomas Dale Current: 6/1/03 3118 N. Teutonia Avenue Expires: 5/31/05 Milwaukee, WI 53206 (414) 264-6155 (414) 264-8288 2235 Bell Therapy - South 68th Street Initial ification: 7/1/00 Jill Letizia Current: 7/1/04 2858 S. 68th Street Expires: 8/31/04 Milwaukee, WI 53219 (414) 445-9180 Mental Health-Day Treatment HFS 61.75 2237 IVOCC Behavioral Health Clinic Jon Christensen 3330 W. Wells Street Milwaukee, WI 53208 (414) 342-5000 IVOCC Martin Luther King 2669 N. Martin Luther King Drive Milwaukee WI 53212 Initial ification: 8/23/00 Current: 4/16/04 Expires: 4/30/05 2239 ASHA Family Services Antonia Vann 6001 W. Center Street, #97LL Milwaukee, WI 53210 (414) 875-1511 Initial ification: 8/11/00 Current: 12/1/02 Expires: 8/31/04

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: 8/1/04 210 W. Capitol Drive Expires: 7/31/06 Milwaukee, WI 53212 (414) 727-6320 (414) 727-6321 2271 Aurora Behavioral Health Center - Parkway Kate Connelly 2906 S. 20th Street Milwaukee, WI 53215 (414) 385-7820 (414) 454-6536 Initial ification: 11/1/00 Current: 3/1/03 Expires: 10/31/04 2305 Bell Therapy Outpatient Clinic Leonard Dziubla 6414 W. Fond du lac Avenue Milwaukee, WI 53218 (414) 463-8777 Initial ification: 10/1/87 Current: 10/1/02 Expires: 9/30/04 2319 Bell Therapy Services Mental Health Outpatient Clinic Leonard Dziubla 4941 W. Fond du Lac Avenue Milwaukee, WI 53216 (414) 225-4460 Initial ification: 8/20/01 Current: 12/1/02 Expires: 8/31/04 2320 Associated Counseling and Training Services, Inc. Clarence Johnson 6815 W. Capitol Drive, #310 Milwaukee, WI 53216 (414) 393-1070 (414) 393-1072 Initial ification: 8/28/01 Current: 9/1/03 Expires: 8/31/04 CSAS-Day Treatment HFS 75.12 2331 Solution Group, Inc. Jimmy McClendon 2460 W. Lisbon Avenue Milwaukee, WI 53205 (414) 342-2104 (414) 372-9479 Initial ification: 11/1/01 Current: 3/1/04 Expires: 10/31/04 CSAS-Day Treatment HFS 75.12

Page 111 of 203 ified Provider Address, Contact, Phone 2334 Horizons, Inc. Linda Hall 2511 W. Vine Street Milwaukee, WI 532051439 (414) 342-3237 (414) 342-3258 Initial ification: 11/1/01 Current: 3/10/03 Expires: 10/31/04 2351 United Community Center Latinas Unidas Ricardo Cisneros 1007 S. 8th Street Milwaukee, WI 53204 (414) 643-8530 Initial ification: 11/1/01 Current: 3/1/04 Expires: 9/30/04 CSAS-Medically Monitored Treatment HFS 75.11 2366 Howard Jansen Day Treatment 2 Initial ification: 4/3/02 Nathan Zeiger Current: 4/1/04 3109 W. Highland Boulevard Expires: 3/31/06 Milwaukee, WI 53208 (414) 937-8460 (414) 225-4475 Mental Health-Day Treatment for Children 2 HFS 40.11(2)(b) 2367 La Causa, Inc. Chyra Trost 1545 S. Layton Boulevard Milwaukee, WI 53215 (414) 902-1500 Initial ification: 4/22/02 Current: 5/1/03 Expires: 4/30/05 2373 Social Development Commission Youth Development Program Todd Beadle 4041 N. Richards Street Milwaukee, WI 53212 (414) 906-2700 ) - Southside Neighborhood Service Center 931 W. Madison Street Milwaukee WI 53204 Initial ification: 4/29/02 Current: 5/1/03 Expires: 4/30/05 2378 Medical College of Wisconsin Campus Clinic South Connie Moynihan 1231 W. Mitchell Street Milwaukee, WI 53204 (414) 643-8461 (414) 456-6285 Initial ification: 5/21/02 Current: 6/1/03 Expires: 5/31/05

Page 112 of 203 ified Provider Address, Contact, Phone 2380 Aro Counseling Centers, Inc. Patricia Pendowski 5678 W. Brown Deer Road, #102 Milwaukee, WI 53223 (414) 546-0467 (262) 641-9126 Initial ification: 5/29/02 Current: 6/1/03 Expires: 5/31/05 CSAS-Day Treatment HFS 75.12 2383 Catherine Q. Rousseau Catherine Rousseau 1661 N. Water Street, #406 Milwaukee, WI 53202 (414) 276-0730 (414) 274-6683 Initial ification: 6/13/02 Current: 6/1/03 Expires: 5/31/05 2395 Westlake Clinic Jessica Suhr 10533 W. National Avenue, #300 Milwaukee, WI 53227 (414) 327-4388 (414) 545-6167 Initial ification: 10/1/02 Current: 5/1/04 Expires: 9/30/05 2399 Malen & Associates Carolee Malen 759 N. Milwaukee Street, #200 Milwaukee, WI 53202 (414) 271-1718 (414) 221-9261 Initial ification: 10/1/02 Current: 5/1/04 Expires: 1/31/05 2400 Catholic Charities - Milwaukee John Nesseth 7635 W. Oklahoma Avenue, #104 Milwaukee, WI 53219 (414) 771-2881 (414) 771-2881 Initial ification: 8/12/02 Current: 6/1/04 Expires: 5/31/06 2401 Aro Counseling Centers, Inc. John Rutter 6815 W. Capitol Drive, #207 Milwaukee, WI 53216 (262) 466-4134 (414) 466-4148 Initial ification: 11/4/02 Current: 1/1/04 Expires: 10/31/05 CSAS-Day Treatment HFS 75.12

Page 113 of 203 ified Provider Address, Contact, Phone 2406 AIDS Resource Center of Wisconsin Laura Gentry 820 N. Plankinton Avenue Milwaukee, WI 53203 (414) 273-1991 (414) 273-2357 Wisconsin House 4734 N. 39th Street Milwaukee WI 53209 Initial ification: 10/2/02 Current: 10/1/03 Expires: 9/30/05 2411 New Life Family Service, Inc. Eric Williams 6815 W. Capitol Drive, #119 Milwaukee, WI 53216 (414) 466-3181 (414) 466-3304 Initial ification: 10/1/02 Current: 10/1/03 Expires: 9/30/04 2413 Omni Enrichment, Inc. Initial ification: 2/1/03 Barbara Tripp Current: 9/1/04 3020 W. Vliet Street Expires: 2/28/06 Milwaukee, WI 53218 (414) 445-8721 (414) 933-1656 2417 Children's Hospital of Milwaukee Mark Lyday 1020 N. 12th Street, 5th Floor Milwaukee, WI 53233 (414) 266-2000 Initial ification: 1/22/03 Current: 1/22/03 Expires: 12/31/04 2427 Cornerstone Counseling Services Initial ification: 2/1/03 Scott Allen Current: 2/1/04 5325 W. Burleigh, Suite 250 Expires: 1/31/06 Mark Isaacs Milwaukee, WI 53210 (414) 789-1191 (414) 821-6180 2432 Freshstart Counseling Center Jermaine Reed 7101 W. Capitol Drive Milwaukee, WI 53216 (414) 299-9065 (414) 431-0831 Initial ification: 3/10/03 Current: 3/1/04 Expires: 8/31/04

Page 114 of 203 ified Provider Address, Contact, Phone 2434 Health Psychology Associates Geraldine Banks #206 2901 W. Kinnickinnic River Pkwy Milwaukee, WI 53215 (414) 962-5850 (414) 962-7024 Initial ification: 12/10/02 Current: 1/1/04 Expires: 12/31/05 2444 Mi Familia Initial ification: 5/16/03 Isabelle Reyes Current: 5/1/04 2960 S. 13th Street Expires: 8/31/04 Milwaukee, WI 53215 (414) 383-0755 (414) 383-0757 2455 Positive Conclusions, LLC Initial ification: 7/2/03 Ecclesiastes Allen Current: 7/1/04 8726 W. Mill Road Expires: 10/31/04 Milwaukee, WI 53225 (414) 358-0989 (414) 777-0784 2456 Benedict Center Women's Harm Reduction Program Donna Hietpas 229 E. Wisconsin Avenue, #1250 Milwaukee, WI 53202 (414) 347-1774 (414) 347-0148 Initial ification: 1/15/03 Current: 5/1/04 Expires: 12/31/05 2459 Renew Counseling Services Bruce Croatt 7400 W. Brown Deer Road Milwaukee, WI 53223 (414) 354-1000 (414) 383-6759 Initial ification: 1/14/03 Current: 3/1/04 Expires: 12/31/04 2471 Brighter Days Counseling Center Robert Knoop 6815 W Capitol Drive, #305 Milwaukee, WI 53216 (262) 650-1157 Initial ification: 9/11/03 Current: 9/11/03 Expires: 8/31/04 2472 Matthias Stutz & Associates, SC Michael John Giffin 1201 N. Prospect Avenue Milwaukee, WI 532023013 (414) 221-0022 Initial ification: 8/28/03 Current: 8/28/03 Expires: 8/31/04

Page 115 of 203 ified Provider Address, Contact, Phone 2473 Fokus Family Services Armande McRath 2821 N. 4th Street Milwaukee, WI 53212 (414) 264-4217 (414) 264-4218 Initial ification: 8/28/03 Current: 8/28/03 Expires: 8/31/04 CSAS-Day Treatment HFS 75.12 2475 Milwaukee Academy Outpatient Mental Health Clinic Michael Kluesner 9501 Watertown Plank Road Milwaukee, WI 53226 (414) 257-3141 Initial ification: 7/10/03 Current: 7/1/04 Expires: 6/30/06 2479 Gateway To Change Initial ification: 10/29/03 Glenda Hampton Current: 5/1/04 2319 W. Capitol Drive Expires: 11/30/04 Milwaukee, WI 53206 (414) 442-2033 (414) 442-2167 CSAS-Day Treatment HFS 75.12 2491 Current Initiatives Counseling Service, LLC Lashawnda Davis 7945 N. 76th Street Milwaukee, WI 53223 (414) 628-6296 (414) 873-8713 Initial ification: 1/14/04 Current: 5/13/04 Expires: 12/31/04 2495 Sebastian Family Psychology Practice, LLC Sebastian Ssempijja 5626 N. 91st Street, #301 Milwaukee, WI 53225 (414) 461-1088 (414) 461-1049 Initial ification: 1/14/04 Current: 1/14/04 Expires: 12/31/04 2501 Shore Counseling and Consulting Clinic Thomas Troast 6110 N. Port Washington Road Milwaukee, WI 53217 (414) 861-0679 (414) 332-2583 Shore Clinic 910 Milwaukee Avenue South Milwaukee WI 53172 Initial ification: 11/24/03 Current: 11/24/03 Expires: 11/30/04

Page 116 of 203 ified Provider Address, Contact, Phone 2509 Word of Hope Ministries ATODA Program Initial ification: 3/1/04 Lillie Patterson Current: 3/1/04 2677 N. 40th Street Expires: 2/28/05 Milwaukee, WI 532102505 (414) 447-1965 (414) 447-1964 2524 Shoreside Therapies, LLC Initial ification: 6/1/04 Nancy Shertok Current: 6/1/04 4530 N. Oakland Avenue Expires: 5/31/05 Milwaukee, WI 532111215 (414) 332-7000 (414) 332-7000 2174 Aro Counseling Centers, Inc. Kathy Murawski 6416 S. Howell Avenue Oak Creek, WI 53154 (414) 762-5429 (414) 546-0678 Aro Counseling Centers 1111-55th Street Kenosha WI 53140 Initial ification: 11/1/99 Current: 1/1/04 Expires: 10/31/05 CSAS-Day Treatment HFS 75.12 1837 Shorewood Counseling Associates Sandra Blais 4465 N. Oakland Avenue Shorewood, WI 53211 (414) 964-8980 Initial ification: 12/22/92 Current: 4/1/04 Expires: 12/31/05 2426 Aurora Behavioral Health Center - Airport Katherine Connelly 2000 E. Layton Avenue, #250 St. Francis, WI 53235 (414) 389-5961 (414) 654-6536 Initial ification: 1/13/03 Current: 3/1/04 Expires: 12/31/05 1010 Achievement Associates, Ltd. Initial ification: 7/1/93 Neena Florsheim Current: 3/22/04 933 N. Mayfair Road, #215 Expires: 5/31/05 Wauwatosa, WI 53226 (262) 241-5099 Achievement Associates, Ltd. 2312 N. Grandview Blvd. South Bldg., #205 Waukesha WI 53188 Mark Isaacs

Page 117 of 203 ified Provider Address, Contact, Phone 1070 Associated Psychiatric & Consulting Services Initial ification: 3/1/78 Treva Leupold Current: 1/1/03 10425 W. North Avenue, #350 Expires: 9/30/04 Wauwatosa, WI 53226 (414) 259-9516 1073 Associated Women Psychotherapists, S.C. Initial ification: 7/1/83 Anna Campbell Current: 8/1/02 10625 W. North Avenue, #208 Expires: 7/31/04 Wauwatosa, WI 53226 (414) 476-2699 1198 Christian Counseling Services Initial ification: 7/1/96 Beverly Yahnke Current: 7/1/04 2600 N. Mayfair Road, #870 Expires: 8/31/04 Wauwatosa, WI 53226 (414) 774-6770 1199 WI Lutheran Child & Family Service, Inc. d/b/a Christian Family Counseling John Juern 2401 N. Mayfair Road, #308 Wauwatosa, WI 53226 (414) 476-1772 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 53022 Expires: 11/30/04 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 17100 W. Bluemound Road Brookfield WI 53005 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 9555 S. Howell Avenue Oak Creek WI 53154 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 120 N. Main Street West Bend WI 53095 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 6800 N. 76th Street Milwaukee WI 53223

Page 118 of 203 ified Provider Address, Contact, Phone 1267 Curative Care Network Initial ification: 6/1/77 Robert Coons Current: 5/1/04 1000 N. 92nd Street Expires: 3/31/06 Wauwatosa, WI 532264800 (414) 259-1414 Curative at Isaac Coggs Community Health Center 2770 N. 5th Street Milwaukee WI 53208 Curative Rehabilitation Services 1645 S. 36th Street Milwaukee WI 53215 Curative Rehabilitation Services 5071 S. Lake Drive Milwaukee WI 53210 1303 Encompass, Inc. Effective Mental Health Services Laura Schulz 2421 N. Mayfair Road, #300 Wauwatosa, WI 53226 (414) 453-8380 (414) 443-1635 Initial ification: 11/1/93 Current: 2/1/03 Expires: 10/31/04 1318 Family Care Psychological Services Raymond Lueck 2500 Mayfair Road, #560 Wauwatosa, WI 53226 (414) 771-5002 (414) 271-2928 Family Care Psychological Services 2725A Hillside Drive Delafield WI 53018 Initial ification: 10/15/90 Current: 11/1/03 Expires: 10/31/05 1319 Family Counseling Center, LLC Initial ification: 2/1/90 Mary Nervig Current: 2/1/03 8112 W. Bluemound Road, #106 Expires: 1/31/05 Wauwatosa, WI 53213 (414) 258-5523 1434 Inner Resources, Inc. Initial ification: 6/1/94 Laura Pauly Current: 7/1/04 1200 N. Mayfair Road, #370 Expires: 5/31/06 Wauwatosa, WI 53226 (414) 771-6150

Page 119 of 203 1516 ified Provider Address, Contact, Phone Lutheran Counseling and Family Services of Wisconsin Chuck Meseck 3800 N. Mayfair Road Wauwatosa, WI 532222200 (414) 536-8333 (414) 536-8348 LCFS - First Immanuel Lutheran Church W67 N622 Evergreen Boulevard Cedarburg WI 530121848 LCFS - St. John Lutheran Church 809 S. Sixth Avenue West Bend WI 530954696 LCFS - St. John Lutheran Church 4850 S. Lake Drive Cudahy WI 53110 LCFS - St. Paul Lutheran Church 210 E. Pleasant Street Oconomowoc WI 53066 Initial ification: 3/1/78 Current: 6/1/04 Expires: 3/31/06 CSAS-Day Treatment HFS 75.12 1627 Miller Psychological & Family Services Bernadette Miller 2600 N. Mayfair Road, #510 Wauwatosa, WI 53226 (414) 777-0755 Initial ification: 4/1/94 Current: 4/1/03 Expires: 3/31/05 1632 Milwaukee County Mental Health Division Suzanne Schuler 9455 Watertown Plank Road Wauwatosa, WI 53226 (414) 257-7482 (414) 257-7019 Initial ification: 8/1/77 Current: 11/1/03 Expires: 10/31/05 Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Emergency HFS 34.3 Service 3 Mental Health-Inpatient HFS 61.71

Page 120 of 203 1647 ified Provider Address, Contact, Phone Aurora Psychiatric Hospital, Inc. Jamie Lewiston 1220 Dewey Avenue Wauwatosa, WI 53213 (414) 454-6543 Initial ification: 9/1/79 Current: 5/1/04 Expires: 2/28/06 Mental Health-Day Treatment for HFS Children 3 40.11(2)(c) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 CSAS-Transitional Residential HFS 75.14 1728 Pastoral Counseling Service of the Greater Milwaukee Area Steven Fringer 2825 N. Mayfair Road Wauwatosa, WI 53222 (414) 453-6960 Initial ification: 8/7/95 Pastoral Counseling Service of the Greater Milwaukee Are 4465 N. Oakland Avenue Shorewood WI 53211 Pastoral Counseling Service of the Greater Milwaukee Are 745 Main Street Racine WI 53403 Current: 12/1/02 Expires: 7/31/04 1756 Psychiatric Consultants & Therapists, SC Mary Jo Caminiti 1220 Dewey Ave., #207 Wauwatosa, WI 53213 (414) 224-3737 Initial ification: 1/1/83 Current: 5/1/03 Expires: 11/30/04 1784 Reese Therapy & Associates Mary Ann Reese 10425 W. North Avenue, #314 Wauwatosa, WI 53226 (414) 778-2233 Reese Therapy & Associates Reese Therapy - Waukesha Waukesha WI 53187 Initial ification: 10/1/93 Current: 10/1/02 Expires: 9/30/04 620 Maple Avenue

Page 121 of 203 1881 ified Provider Address, Contact, Phone Stillwater Counseling Center Helen Ponec 1109 N. Mayfair Road Wauwatosa, WI 53226 (414) 456-9929 Initial ification: 2/1/96 Current: 3/1/03 Expires: 1/31/05 1938 Turcott Medical and Psychiatric Associates Richard Turcott 2600 N. Mayfair Road, #785 Wauwatosa, WI 53226 (414) 258-5704 (414) 258-8406 Initial ification: 2/1/78 Current: 10/1/02 Expires: 9/30/04 1939 Turcott-Nielsen Psychotherapy Associates Jill Turcott-Nielsen 10625 W. North Avenue, #225 Wauwatosa, WI 53226 (414) 258-2600 Initial ification: 5/1/94 Current: 5/1/04 Expires: 4/30/06 1961 Valentin Clinic Cynthia Valentin 1220 Dewey Avenue Wauwatosa, WI 53213 (414) 454-6514 (414) 454-6751 Initial ification: 3/1/92 Current: 9/1/03 Expires: 8/31/05 2115 Solutions Behavioral Health Group John Briggs 10702 W. Burleigh Wauwatosa, WI 53222 (414) 617-4435 Initial ification: 4/1/99 Current: 6/1/04 Expires: 8/31/04 2199 Childynamics, LLC Isabela Sardas 11904 W. North Avenue, #110 Wauwatosa, WI 53226 (414) 258-4347 (414) 258-4328 Initial ification: 3/15/00 Current: 3/1/03 Expires: 2/28/05 Mental Health-Day Treatment for HFS Children 2 40.11(2)(b) 2238 Summit Psychology Clinic, SC Jeanne Herzog 933 N. Mayfair Road, #303 Wauwatosa, WI 53226 (414) 258-8488 Initial ification: 8/24/00 Current: 12/1/02 Expires: 8/31/04

Page 122 of 203 2261 ified Provider Address, Contact, Phone Sheryl A. Van Haren, MSW Sheryl VanHaren 7635 W. Bluemound Road, #206 Wauwatosa, WI 53213 (414) 479-9779 (414) 479-9775 Initial ification: 9/28/00 Current: 10/1/03 Expires: 9/30/05 2365 Professional Services Group, Inc. Brian Wolf 2401 N. Mayfair Road, #20 Wauwatosa, WI 53226 (414) 476-8757 Initial ification: 4/17/02 Current: 6/1/03 Expires: 4/30/05 2458 Medical Associates Health Centers Julie Mondroski 2421 N. Mayfair Road, Suite 200 Wauwatosa, WI 53226 (414) 250-5140 Medical Associates Health Centers 2131 W. Washington Street West Bend WI 53095 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 53213 (414) 454-6506 (414) 454-6536 Initial ification: 3/1/04 Current: 3/1/04 Expires: 2/28/06 1033 Alternatives In Psychological Consultation, S.C. Daniel Baldwin 6227 W. Greenfield Avenue, #202 West Allis, WI 53214 (414) 302-1591 Alternatives In Psychological Consultation, S.C. 10045 W. Lisbon Avenue, #200 Milwaukee WI 53222 Initial ification: 11/20/97 Current: 12/1/03 Expires: 11/30/04 Mental Health-Day Treatment for HFS Children 1 40.11(2)(a) CSAS-Day Treatment HFS 75.12

Page 123 of 203 ified Provider Address, Contact, Phone 1114 Brotoloc Outpatient Clinic Initial ification: 4/1/98 Marsha Snyder Current: 5/1/04 5812 W. Burnham Expires: 7/31/04 West Allis, WI 53219 (414) 543-3200 (414) 543-3269 Brotoloc Outpatient Clinic - Lakeshores Office 3917-47th Avenue Kenosha WI 53144 1698 Northshore Clinic & Consultants, Inc. Initial ification: 9/1/97 Joy Myers Current: 12/1/02 2363 S. 102nd Street, #101 Expires: 8/31/04 West Allis, WI 53227 (414) 545-1950 Northshore Clinic & Consultants, Inc. 175 E. Wisconsin Avenue Oconomowoc WI 53066 1885 Stress Management and Mental Health Clinics Gary Major 10229 W. Greenfield Avenue West Allis, WI 53214 (414) 453-6330 Stress Management and Mental Health Clinics W156 N11387 Pilgrim Road Germantown WI 53022 Stress Management and Mental Health Clinics 6233 Bankers Road #2 Racine WI 53403 Stress Management and Mental Health Clinics 333 Bishops Way Brookfield WI 53005 Initial ification: 6/1/80 Current: 12/1/02 Expires: 8/31/04 1905 Temenos Counseling Services Fred Gustafson 7441 W. Greenfield Avenue West Allis, WI 53214 (414) 771-0322 Temenos Counseling Services 123 Hospital Drive Watertown WI 53098 Initial ification: 10/9/91 Current: 3/1/03 Expires: 10/31/04

Page 124 of 203 1985 ified Provider Address, Contact, Phone West Allis Psychiatric Associates Donald Feinsilver 2424 S. 90th Street, #402 West Allis, WI 53227 (414) 328-8690 Initial ification: 12/27/93 Current: 3/1/03 Expires: 12/31/04 2214 Rogers Memorial Hospital - Milwaukee Earl Kessler 11101 W. Lincoln Avenue West Allis, WI 53227 (414) 327-3000 (414) 327-6045 Initial ification: 5/1/00 Current: 7/1/04 Expires: 4/30/06 Mental Health-Day Treatment for HFS Children 2 40.11(2)(b) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Day Treatment HFS 75.12 2357 Mary Determan MSW Mary Determan 8410 W. Cleveland Avenue West Allis, WI 53227 (414) 649-8541 Initial ification: 3/22/02 Current: 5/1/03 Expires: 3/31/05 2370 Counseling and Transition Center Theron Mills 8410 W. Cleveland West Allis, WI 53227 (414) 321-0828 (414) 321-2146 Initial ification: 4/30/02 Current: 5/1/03 Expires: 4/30/05 2397 Aurora Behavioral Health Center - Women's Pavilion Katherine M. Connelly 8901 W. Lincoln Avenue West Allis, WI 53227 (414) 454-6506 (414) 454-6536 Initial ification: 7/12/02 Current: 7/1/04 Expires: 8/31/04

Page 125 of 203 2420 ified Provider Address, Contact, Phone Southeastern Wisconsin Life Skills Center, LLC Lillian Sardina 10335 W. Oklahoma Avenue West Allis, WI 53227 (414) 321-3210 (414) 321-3220 Initial ification: 1/28/03 Current: 5/1/04 Expires: 1/31/06 CSAS-Day Treatment HFS 75.12 2236 QAM - Quality Addiction Management Charles Engel 4701 W. National Avenue West Milwaukee, WI 53214 (414) 672-3801 Initial ification: 6/19/00 Current: 7/1/04 Expires: 8/31/06 Mark Isaacs CSAS-Narcotic Treatment HFS 75.15 2339 Marcia O'Boyle and Associates Marcia O'Boyle 5594 N. Hollywood Avenue Whitefish Bay, WI 53217 (414) 332-3973 Initial ification: 10/1/01 Current: 2/1/03 Expires: 9/30/04 1398 Hazelden Mark Sheets 15245 Pleasant Valley Road Center City, MN 55012 (651) 213-0410 Initial ification: 5/1/88 Current: 5/1/03 Expires: 4/30/05 County / State: Minnesota Roderic Senn CSAS-Medically Monitored HFS 75.07 Residential Detox CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1628 Miller-Dwan Medical Center Kathleen Huntley 502 E. Second Street Duluth, MN 55805 (218) 786-3689 (218) 722-0373 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 40.11(2)(b) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Treatment HFS 75.10

Page 126 of 203 1865 ified Provider Address, Contact, Phone St. Luke's Hospital Jo Ann Hoag 915 E. First Street Duluth, MN 55805 (218) 726-5359 Initial ification: 2/1/95 Current: 2/1/03 Expires: 1/31/05 County / State: Minnesota Roderic Senn Mental Health-Inpatient HFS 61.71 2064 Duluth Detoxification Center David Kallberg 1402 E. Superior Street Duluth, WI 55805 (218) 723-8444 Initial ification: 9/1/98 Current: 9/1/02 Expires: 8/31/04 County / State: Minnesota CSAS-Medically Monitored Residential Detox Roderic Senn HFS 75.07 2083 Miller-Dwan Medical Center Kathleen Huntley 330 E. Second Street Duluth, MN 55805 (218) 786-3689 (218) 722-0373 Initial ification: 10/1/98 Current: 12/1/02 County / State: Minnesota Expires: 11/30/04 Roderic Senn Mental Health-Day Treatment HFS 61.75 CSAS-Day Treatment HFS 75.12 2307 St. Luke's Mental Health Services Jo Ann Hoag 220 N. Sixth Avenue, East Duluth, MN 55805 (218) 529-7000 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 11505-36th Avenue, North Plymouth, MN 55441 (763) 509-3800 Initial ification: 3/1/90 Current: 4/1/03 Expires: 3/31/05 County / State: Minnesota K. L. Polly Wong CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 2337 Hazelden Mental Health Centers Plymouth Susan Hoisington 11505-36th Avenue, North Plymouth, MN 554412398 (763) 509-3800 Initial ification: 11/5/01 Current: 4/1/03 County / State: Minnesota Expires: 3/31/05 K. L. Polly Wong

Page 127 of 203 1861 ified Provider Address, Contact, Phone Fairview Red Wing Health Services Sarah Shippy 1407 W. Fourth Street Red Wing, MN 55066 (651) 385-3360 Fairview Red Wing Detention Center Satellite 430 W. Sixth Street Red Wing MN 55066 Initial ification: 6/1/96 Current: 3/1/02 Expires: 7/31/03 County / State: Minnesota Roderic Senn CSAS-Transitional Residential HFS 75.14 1653 Minnesota Indian Primary Residential Treatment Center, Inc. Mash-ka-wisen Elwin Benton P.O. Box 66 Sawyer, MN 55780 (218) 879-6731 (218) 879-6734 Initial ification: 12/1/87 Current: 6/1/03 Expires: 5/31/05 County / State: Minnesota CSAS-Medically Monitored Treatment Roderic Senn HFS 75.11 2205 United Hospital - Behavioral Health Services Susan Tabor 333 N. Smith Avenue St. Paul, MN 55102 (651) 220-8565 (651) 220-7168 Initial ification: 2/3/00 Current: 5/1/03 Expires: 4/30/05 County / State: Minnesota K. L. Polly Wong Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Inpatient HFS 61.71 2333 Hazelden Mental Health Centers St. Paul Susan Hoisington 680 Stewart Avenue St. Paul, MN 551024199 (763) 509-3932 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 55082 (651) 439-4840 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 55987 (507) 454-3900 (507) 452-7459 Associates in Counseling 115 Fifth Avenue, South, #523 LaCrosse WI 54601 Initial ification: 9/1/88 Current: 8/1/03 Expires: 7/31/04 County / State: Minnesota Roderic Senn

Page 128 of 203 1364 ified Provider Address, Contact, Phone Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 310 W. Main Street Sparta, WI 54656 (608) 269-4132 Initial ification: 5/1/94 Franciscan-Skemp Healthcare Behavioral Health Services 134 N. Leonard Street West Salem WI 54669 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-19 14301 Highway B Sparta, WI 54656 (608) 269-8630 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 75.05 2277 Gundersen Lutheran Medical Center, Inc. - Behavioral Health Rebecca Cleveland 103 S. Water Street Sparta, WI 54656 (608) 269-1588 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-19 14301 Highway B Sparta, WI 54656 (608) 269-8630 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 63 1368 Franciscan-Skemp Healthcare Behavioral Health Services Robert Hillary 325 Butts Avenue Tomah, WI 54660 (608) 372-5999 Initial ification: 9/1/95 Current: 6/1/04 Expires: 5/31/06 County / State: Monroe K. L. Polly Wong

Page 129 of 203 1411 ified Provider Address, Contact, Phone Ho-Chunk Nation Alcohol/Drug Program Services Terry LittleWolf 27374 Hwy 21 P. O. Box 248 Tomah, WI 54660 (608) 372-5202 (608) 372-0889 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 54660 (608) 775-2603 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 54153 (920) 834-7000 Oconto County Department Human Services 15397 State Road Hwy 32 Lakewood WI 54138 Initial ification: 4/1/79 Current: 4/8/03 Oconto County Department Human Services New View Ind 164 W. Park Street Gillett WI 54124 Expires: 8/31/04 County / State: Oconto Frank Bellaire Mental Health-Emergency HFS 34.2 Service 2 CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 2178 Professional Family Resources, Inc. Gail Sell 361 Van Dyke Street Oconto, WI 54153 (920) 835-7456 (920) 835-2285 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 54153 (920) 834-7000 Initial ification: 4/1/79 Current: 9/1/02 Expires: 8/31/04 County / State: Oconto Mental Health-Community Support Program Frank Bellaire HFS 63 2227 Bellin Psychiatric Center Behavioral Health Clinic Oconto Falls Stacie Herzog 835 S. Main Street Oconto Falls, WI 54154 (920) 846-0509 Initial ification: 6/23/00 Current: 7/1/03 County / State: Oconto Expires: 6/30/04 Frank Bellaire

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: 4/1/04 8618 Highway 51 North Expires: 3/31/06 Steven Ojibway Minocqua, WI 54548 (715) 356-6146 (715) 356-6146 Christ the Servant Lutheran Church Highway 13 South Park Falls WI 54552 1572 Marshfield Clinic Counseling Center Charles Michels 9792 Highway 70, West Minoqua, WI 54548 (715) 356-1793 (715) 358-7863 Marshfield Clinic Counseling Center 50 Sherry Avenue Park Falls WI 54552 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 54501 (715) 365-7000 Community Mental Health Services,Inc 609 Wall Street Eagle River WI 54501 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: 6/1/04 705 E. Timber Drive Expires: 5/31/06 Steven Ojibway Rhinelander, WI 545010997 (715) 362-2215 Mental Health-Community Support Program HFS 63

Page 131 of 203 1427 ified Provider Address, Contact, Phone Human Service Center - Northwoods Guidance Center Tom Huiting 705 East Timber Drive Rhinelander, WI 54501 (715) 362-7463 (715) 369-2214 Human Service Center - Northwoods Guidance Center 213 E. Madison Street Crandon WI 54520 Human Service Center - Northwoods Guidance Center 150 Hospital Road Eagle River WI 54521 Human Service Center - Northwoods Guidance Center 10441 State Hwy 70 West Minocqua WI 54568 Initial ification: 9/1/80 Human Service Center - Northwoods Guidance Center/Koi 1991 Winnebago Street Rhinelander WI 54501 Current: 7/1/04 Expires: 6/30/06 County / State: Oneida Steven Ojibway Mental Health-Emergency HFS 34.3 Service 3 1469 Koinonia Residential AODA Treatment Center Mark Strosahl 1991 Winnebago Street Rhinelander, WI 54501 (715) 362-5745 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 75.09 HFS 75.11 1471 Koller Behavioral Health a Division of Howard Young Medical Chris Hartlep 622 Mason Street Rhinelander, WI 54501 (715) 356-8540 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 54501 (715) 365-1554 (715) 365-1562 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 54501 (715) 365-6696 Initial ification: 8/23/93 Current: 9/1/03 County / State: Oneida Expires: 8/31/05 Steven Ojibway

Page 132 of 203 1762 ified Provider Address, Contact, Phone St. Mary's Hospital/Ministry Behavioral Health-Psychological Associates Andrea Maulson 203 Schiek Plaza Rhinelander, WI 54501 (715) 362-5150 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 54501 (715) 369-6428 Eagle River Medical Group 930 E. Wall Street Eagle River WI 54521 (715) 369-6322 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 54501 (715) 363-6390 (715) 363-6391 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 1 40.11(2)(a) 2515 St. Mary's Hospital Andrea Maulson 2251 N. Shore Drive, #100 Rhinelander, WI 54501 (800) 472-7821 Initial ification: 5/1/04 Current: 5/1/04 Expires: 4/30/05 County / State: Oneida Steven Ojibway Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Emergency HFS 34.2 Service 2 Mental Health-Inpatient HFS 61.71 2531 Price-Decker Clinic, LLC Terry Price-Decker 21B S. Brown Street Rhinelander, WI 54501 (715) 362-5437 (715) 362-2014 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 54568 (715) 356-8000 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

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 54568 (715) 356-8580 Initial ification: 8/1/78 Current: 5/1/01 Koller Behavioral Health a Division of Howard Young Medi 150 Hospital Road Eagle River WI 54521 Koller Behavioral Health a Division of Howard Young Medi 622 Mason Street Rhinelander WI 54501 Expires: 4/30/03 County / State: Oneida Steven Ojibway CSAS-Prevention HFS 75.04 1130 Casa Clare, Inc. Initial ification: 3/21/96 County / State: Outagamie James Webb Current: 4/1/04 310 N. Durkee Street Expires: 3/31/05 Frank Bellaire Appleton, WI 54911 (920) 731-3981 CSAS-Transitional Residential HFS 75.14 1355 Fox Valley Pastoral Counseling Initial ification: 3/1/83 County / State: Outagamie Robert Young Current: 3/1/04 1260 W. Valley Road Expires: 2/28/06 Frank Bellaire Appleton, WI 54915 (920) 739-9319 Fox Valley Pastoral Counseling Center 110 Church Avenue Oshkosh WI 54901 Fox Valley Pastoral Counseling Center 110 E. Hancock Street New London WI 54961

Page 134 of 203 1400 ified Provider Address, Contact, Phone Appleton Psychiatric & Counseling Center Bruce Heyl 477 S. Nicolet Road Appleton, WI 54914 (920) 882-6610 (920) 882-6611 Appleton Psychiatric & Counseling Center W9499 Givens Road Hortonville WI 54944 Appleton Psychiatric & Counseling Center 340 N. Wisconsin Street DePere WI 54115 Appleton Psychiatric & Counseling Center 15397 Highway 32 Lakewood WI 54138 Appleton Psychiatric & Counseling Center 308 W. Main Street Hilbert WI 54129 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 54914 (920) 733-2860 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 54911 (920) 832-5270 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

Page 135 of 203 1860 ified Provider Address, Contact, Phone St. Elizabeth Hospital Ric Compton 1506 S. Oneida Street Appleton, WI 54915 (920) 738-2389 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 3 40.11(2)(c) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Day Treatment HFS 75.12 1917 Mooring Programs, Inc. James Webb 607 W. Seventh Street Appleton, WI 54911 (920) 739-3235 Initial ification: 5/8/91 Current: 7/1/04 Expires: 6/30/06 County / State: Outagamie Frank Bellaire CSAS-Emergency Outpatient HFS 75.05 CSAS-Transitional Residential HFS 75.14 1982 Wellness Counseling Center Bedford Hines 103 W. College Avenue, #815 Appleton, WI 54911 (920) 733-1992 Initial ification: 12/1/81 Current: 11/1/03 County / State: Outagamie Expires: 10/31/05 Frank Bellaire

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 549143091 (920) 731-9798 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 54935 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 743 S. Monroe Street Green Bay WI 54301 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 916 Pine Street Manitowoc WI 54220 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 634 Wisconsin St. Oshkosh WI 54901 WI Lutheran Child & Family Service, Inc. d/b/a Christian Fa 108 W. Maple Street Sturgeon Bay WI 542353422 Expires: 8/31/04 County / State: Outagamie Frank Bellaire 2059 Thedacare Behavioral Health Unity Program John Kemp 720 W. Lindbergh Street Appleton, WI 54914 (920) 734-8740 Initial ification: 9/10/98 Current: 10/1/02 County / State: Outagamie Expires: 9/30/04 Frank Bellaire CSAS-Day Treatment HFS 75.12 2077 Counseling Specialists, LLP Beth Young-Verkuilen 424A E. Longview Drive Appleton, WI 54952 (920) 822-9877 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 549151800 (920) 738-2700 (920) 738-8051 Initial ification: 9/26/00 Current: 10/1/02 County / State: Outagamie Expires: 9/30/04 Frank Bellaire

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 54912 (920) 738-1853 (920) 738-1853 2314 Outagamie County Department of Health and Human Services CSP Initial ification: 7/1/87 County / State: Outagamie Mark DeBruin Current: 7/1/03 401 S. Elm Street Expires: 6/30/05 Frank Bellaire Appleton, WI 54911 (920) 832-5270 Mental Health-Community Support Program HFS 63 2419 Options Treatment Program, Inc. Michelle L. Irish 17 Park Place, #400 Appleton, WI 54914 (920) 735-9010 (920) 735-9050 Initial ification: 12/20/02 Current: 1/1/04 County / State: Outagamie Expires: 12/31/05 Frank Bellaire CSAS-Day Treatment HFS 75.12 2450 Sherman Consulting, LLC Initial ification: 6/5/03 County / State: Outagamie Henry Sherman Current: 6/1/04 5583 Waterford Lane, Suite D Expires: 5/31/05 Frank Bellaire Appleton, WI 54913 (920) 733-2065 1152 Center for Family Healing Initial ification: 2/1/90 County / State: Outagamie Lynda Savage Current: 2/1/04 1466 Kenwood Center Expires: 1/31/06 Frank Bellaire Menasha, WI 54952 (920) 720-8872

Page 138 of 203 2052 ified Provider Address, Contact, Phone Thedacare Behavioral Health John Kemp 1095 Midway Road Menasha, WI 54952 (920) 720-2300 Thedacare Behavioral Health 401 S. Elm St Appleton WI 54911 Thedacare Behavioral Health 2809 N. Park Drive Lane Appleton WI 54911 Thedacare Behavioral Health 2005 Midway Road Menasha WI 54952 Thedacare Behavioral Health 2701 E. Enterprise Avenue Appleton WI 54913 (920) 720-3719 Initial ification: 7/31/98 Current: 7/1/04 Expires: 6/30/06 County / State: Outagamie Frank Bellaire CSAS-Prevention HFS 75.04 CSAS-Day Treatment HFS 75.12 1695 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 53012 (262) 375-1116 Mark Isaacs 1056 Aro Counseling Centers, Inc. Patty Pendowski 1930 Wisconsin Avenue Grafton, WI 53024 (262) 377-3712 Initial ification: 8/1/96 Current: 8/1/02 Expires: 7/31/04 County / State: Ozaukee Mark Isaacs CSAS-Day Treatment HFS 75.12 1088 Behavioral Consulting Services Jean Kaske 1533 Wisconsin Avenue Grafton, WI 53024 (262) 376-1224 Initial ification: 8/25/97 Current: 9/1/03 County / State: Ozaukee Expires: 8/31/05 Mark Isaacs

Page 139 of 203 1009 ified Provider Address, Contact, Phone Achievement Associates, Ltd. Neena Florsheim 1317 W. Towne Square Road Mequon, WI 530925017 (262) 241-5099 Achievement Associates, Ltd. 4465 N. Oakland Avenue Shorewood WI 53211 Achievement Associates, Ltd. 2727 W. Cleveland Ave., #2000 Milwaukee WI 53215 Achievement Associates, Ltd. 1300 N Jackson Street Milwaukee WI 53202 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 53092 (262) 241-3698 East Town Professional Associates, S.C. 2600 N. Mayfair Road, #305 Wauwatosa WI 53226 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 10303 N. Pt. Washington Rd., #203 Mequon, WI 53092 (262) 241-5955 (262) 241-5926 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 13111 N. Port Washington Road Mequon, WI 530972416 (262) 291-1777 (262) 291-1988 Initial ification: 9/1/84 Current: 3/1/04 Expires: 2/28/06 County / State: Ozaukee Mark Isaacs Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Day Treatment HFS 75.12

Page 140 of 203 ified Provider Address, Contact, Phone 2368 American Behavioral Clinics Initial ification: 5/1/02 County / State: Ozaukee Deana Ohman Current: 2/1/04 1240 W. Ranchito Lane Expires: 1/31/06 Mark Isaacs Mequon, WI 53092 (262) 241-3231 (262) 797-2814 2428 Lutheran Social Services - Ozaukee Bernestine Jeffers 14135 North Cedarburg Road Mequon, WI 53097 (262) 377-2902 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. 1025 W. Glen Oaks Lane, #207 Mequon, WI 53092 (262) 240-0800 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: 3/1/04 11431 Port Washington Road Expires: 2/28/06 Mark Isaacs Mequon, WI 53092 (262) 771-0322 (920) 668-8448 2507 St. Mary's Hospital Ozaukee DBA Columbia St Mary's Behavioral Med - Mequon Initial ification: 9/2/03 County / State: Ozaukee Tim Shininger Current: 3/1/04 1500 W. Market Street, #200 Expires: 2/28/06 Mark Isaacs Mequon, WI 53092 (414) 291-1777 (414) 291-1988 2523 John Gilane Counseling Services Initial ification: 6/1/04 County / State: Ozaukee John Gilane Current: 6/1/04 10144 N. Pt. Washington Rd., #LL-B Expires: 5/31/05 Mark Isaacs Mequon, WI 53092 (262) 240-1240 (262) 240-1245 1264 Crossroads Clinic & Family Center James Lipusch 201 N. Milwaukee Street Port Washington, WI 53074 (262) 284-0600 Initial ification: 7/26/93 Current: 8/1/02 County / State: Ozaukee Expires: 7/31/04 Mark Isaacs

Page 141 of 203 1276 ified Provider Address, Contact, Phone Department of Community Programs- Ozaukee County T. Allen Pearson 121 W. Main Street Port Washington, WI 53074 (262) 238-8130 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 75.05 1869 St. Mary's Hospital Ozaukee DBA Columbia St. Mary's Behav Med Pt Washington Brenda Stallbaum 1317 W. Grand Avenue Port Washington, WI 53074 (262) 243-7409 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 53074 (262) 238-8130 Initial ification: 6/1/77 Current: 4/1/03 Expires: 3/31/05 County / State: Ozaukee Mental Health-Community Support Program Mark Isaacs HFS 63 2390 Aro Counseling Centers, Inc. Patty Pendowski 116 West Grand Avenue Port Washington, WI 53074 (262) 284-3117 (262) 641-9050 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 54736 (715) 672-8941 (715) 672-8593 Initial ification: 4/1/82 Current: 6/1/04 Expires: 5/31/06 County / State: Pepin K. L. Polly Wong

Page 142 of 203 1737 ified Provider Address, Contact, Phone Pierce County Department of Human Services Linda Johnson 412 W. Kinne Street Ellsworth, WI 54011 (715) 273-6774 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 75.05 2326 Northwest Counseling and Guidance Clinic Ellsworth Day Treatment Jill Chaffee 254 S Chestnut Street Ellsworth, WI 54011 (715) 273-0203 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 540222819 (715) 426-5950 Initial ification: 5/1/90 Current: 5/1/04 Expires: 4/30/05 County / State: Pierce Roderic Senn CSAS-Transitional Residential HFS 75.14 1799 River Valley Psychological Services Karen LaBounty 215 N. Second Street, #101 River Falls, WI 54022 (715) 425-8899 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 54022 (715) 426-5950 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 54001 (715) 268-5404 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)

Page 143 of 203 2204 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 54810 (715) 485-8460 (715) 485-8450 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 2 2222 Polk County Human Services Department CSP David Huebsch 100 Polk County Plaza, #50 Balsam Lake, WI 54810 (715) 485-8460 (715) 485-8450 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 63 2290 Northwest Counseling and Guidance Clinic Frederic Day Treatment Jill Chaffee 107 Oak Street East Frederic, WI 54837 (715) 327-4666 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 3464-56th Street Frederic, WI 54837 (715) 653-4123 (715) 653-4332 Families First Counseling Center, LLC 207 E. Madison Street Grantsburg WI 54840 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 54024 (715) 483-3544 Initial ification: 7/14/94 Current: 8/1/03 County / State: Polk Expires: 7/31/05 K. L. Polly Wong

Page 144 of 203 1124 ified Provider Address, Contact, Phone Family Crisis Center - CAP Services Mary Rowan 1616 W. River Drive Stevens Point, WI 54481 (715) 343-7102 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 75.05 1190 Children's Service Society of Wisconsin Lisa Dobberke 1201 Water Street, #C Stevens Point, WI 54481 (715) 341-6672 (715) 641-8004 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 54481 (715) 345-0711 Initial ification: 10/1/90 Current: 7/1/03 County / State: Portage Expires: 6/30/05 Steven Ojibway CSAS-Residential Intoxication HFS 75.09 Monitoring CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1320 1621 1662 Family Counseling Clinic of Stevens Point Clara Ann Cleve 1052 Main Street, #203 Stevens Point, WI 54481 (715) 345-1965 Mid-Wisconsin Psychotherapy Associates Richard Hurlbut 100 Bremmer Street Stevens Point, WI 54481 (715) 344-2016 (715) 343-6178 New Directions Counseling Center, LLC Nancy Sexton 5541 Hwy 10 East, #B Stevens Point, WI 54481 (715) 345-9690 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

Page 145 of 203 1740 ified Provider Address, Contact, Phone Portage County Health & Human Services Judy Bablitch 817 Whiting Avenue Stevens Point, WI 54481 (715) 345-5830 Initial ification: 6/1/76 Portage County Health & Human Services, Lincoln Center 1519 Water Street Stevens Point WI 54481 Current: 4/1/03 Expires: 3/31/05 County / State: Portage Steven Ojibway Mental Health-Emergency HFS 34.3 Service 3 1776 Recovery Counseling Services Cathryn Laszinski 1052 Main Street, Suite 206 Stevens Point, WI 54481 (715) 344-4800 (715) 344-4821 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 54481 (715) 342-7633 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 54481 (715) 346-5000 (715) 343-3258 Initial ification: 5/1/78 Current: 10/1/03 Expires: 9/30/05 County / State: Portage Steven Ojibway Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06 2181 Catholic Charities of the Diocese of LaCrosse Jeff Court 1317 College Court, #1 Stevens Point, WI 54481 (715) 344-2500 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 54481 (715) 343-5256 (715) 343-5859 Initial ification: 7/17/00 Current: 7/1/03 County / State: Portage Expires: 6/30/05 Steven Ojibway

Page 146 of 203 ified Provider Address, Contact, Phone 2364 Professional Services Group Initial ification: 1/1/02 County / State: Portage Brian Wolf Current: 1/1/03 1308 N. Main Street Expires: 12/31/04 Steven Ojibway Stevens Point, WI 54481 (715) 295-9970 (715) 261-7677 2405 Northwest Counseling and Guidance Stevens Point Day Treatment Program Ann Langrehr 525-4th Avenue Stevens Point, WI 54481 (715) 342-8065 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 54403 (715) 849-3311 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 54552 (888) 867-4840 Lutheran Counseling and Family Services of Wisconsin 103 Trinity Drive Phillips WI 545551524 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 1111-11th Avenue, PO Box 100 Ashland WI 548060031 1231 Community Support Center of Price County Initial ification: 4/1/98 County / State: Price Pam Olson Current: 1/1/03 548 N. Lake Avenue Expires: 12/31/04 Steven Ojibway Phillips, WI 54555 (715) 339-6449 (715) 339-6450 Mental Health-Community Support Program HFS 63

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: 8/1/03 171 Chestnut Street Expires: 7/31/05 Steven Ojibway Phillips, WI 54555 (715) 339-3048 Counseling and Development Center 214-4th Avenue N Park Falls WI 54552 Price County Sheriff's Department 164 Cherry Avenue Phillips WI 54555 2053 Counseling and Development Center, Inc. Community Support Program Initial ification: 8/1/98 County / State: Price Gregg Engfer Current: 8/1/02 171 Chestnut Street Expires: 7/31/04 Steven Ojibway Phillips, WI 54555 (715) 339-3048 (715) 339-2436 Mental Health-Community Support Program HFS 63 1022 Agape Recovery Center Initial ification: 4/1/94 County / State: Racine Patricia Olsen Current: 4/1/03 308 McHenry Street, #1 Expires: 3/31/05 Mark Isaacs Burlington, WI 53105 (262) 767-0441 (262) 767-9072 1028 All Saints Medical Center, Inc. Counseling Center - Burlington Initial ification: 4/1/90 County / State: Racine Kathleen Belland Current: 4/1/04 152 E. State Street Expires: 3/31/06 Mark Isaacs Burlington, WI 53105 (262) 763-8183 (262) 263-6252 St. Marys Medical Group - Union Grove 1120 Main Street Union Grove WI 53182 1089 Aurora Medical Group Behavioral Health Services Don Crowder 190 Gardner Avenue, #3 Burlington, WI 53105 (262) 763-7766 Doctors Clinic of Elkhorn 205 E. Commerce Court Elkhorn WI 53121 Initial ification: 10/1/83 Current: 2/1/03 County / State: Racine Expires: 1/31/05 Mark Isaacs

Page 148 of 203 1206 ified Provider Address, Contact, Phone Clinical Psychology Associates David Thompson 345 Milwaukee Avenue Burlington, WI 53105 (262) 763-9191 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 53105 (262) 767-0440 (262) 767-0777 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 53406 (262) 886-3322 Psychological and Counseling Services 147 W. Ryan Road Oak Creek WI 53154 Psychological and Counseling Services 6530 Sheridan Road, #5 Kenosha WI 53143 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 53402 (414) 636-2388 (414) 687-2495 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 3 40.11(2)(c) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment

Page 149 of 203 ified Provider Address, Contact, Phone 1135 Catholic Charities of The Archdiocese of Milwaukee, Inc. John Nesseth 2711-19th Street Racine, WI 53403 (262) 637-8888 Initial ification: 6/1/81 Catholic Charities of The Archdiocese of Milwaukee, Inc. 209 N. Main Street Burlington WI 53105 Catholic Charities of The Archdiocese of Milwaukee, Inc. 6202-25th Avenue Kenosha WI 53143 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 53404 (262) 635-1920 Love Incorporated 480 S. Pine Burlington WI 53105 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 53403 (262) 634-2391 (262) 634-5342 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: 3/1/04 1654 Washington Avenue Expires: 2/28/06 Mark Isaacs Racine, WI 53403 (414) 633-5001 CSAS-Day Treatment HFS 75.12 Genesis Behavioral Services 209 N. Main Street, #105 Burlington WI 53406 1380 Genesis Behavioral Services Crossroads Initial ification: 9/1/94 County / State: Racine John Monacelli Current: 9/1/04 1725-27 Spring Place Expires: 8/31/06 Mark Isaacs Racine, WI 53404 (262) 633-0059 CSAS-Transitional Residential HFS 75.14

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: 7/1/04 4606 Durand Avenue Expires: 6/30/06 Mark Isaacs Racine, WI 53405 (262) 554-7728 CSAS-Transitional Residential HFS 75.14 1463 Genesis Behavioral Services St. Claire House Initial ification: 7/1/92 County / State: Racine John Monacelli Current: 10/1/02 4107-09 St. Clair Avenue Expires: 9/30/04 Mark Isaacs Racine, WI 54302 (262) 681-3202 CSAS-Transitional Residential HFS 75.14 1502 Lakeside Family Therapy Initial ification: 4/1/82 County / State: Racine Jack Plate Current: 9/1/03 4810 Northwestern Avenue Expires: 8/31/05 Mark Isaacs Racine, WI 53406 (262) 637-9984 1539 Lutheran Social Services-Racine Initial ification: 4/1/89 County / State: Racine Leslie Luther Current: 7/1/02 2711-19th Street Expires: 6/30/04 Mark Isaacs Racine, WI 53403 (262) 637-3886 1651 Aurora Behavioral Health Center - Racine Initial ification: 1/1/95 County / State: Racine Katherine Connelly Current: 1/1/04 6015 Durand Avenue, #400 Expires: 12/31/05 Mark Isaacs Racine, WI 53406 (262) 554-0205 1757 Psychiatric Services Initial ification: 5/1/88 County / State: Racine Lori Johnson Current: 11/1/03 1244 Wisconsin Avenue, #303 Expires: 10/31/05 Mark Isaacs Racine, WI 53403 (262) 635-5520 (262) 635-5530 1929 Therapy Associates - The Johnson- Tungseth Clinic, LLC Sharon Johnson 1139 Sunnyslope Drive, #100 Racine, WI 53406 (262) 886-2550 (262) 886-3070 Initial ification: 10/1/96 Current: 10/1/03 County / State: Racine Expires: 9/30/05 Mark Isaacs

Page 151 of 203 ified Provider Address, Contact, Phone 2065 Family and Child Therapy Center, S.C. Caroline Bergs 5735 Durand Avenue Racine, WI 53406 (262) 598-7500 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: 7/1/03 436 Main Street Expires: 6/30/05 Mark Isaacs Racine, WI 53403 (262) 637-8820 (262) 637-6942 Mental Health-Community Support Program HFS 63 2215 Transitional Living Services, Inc. Initial ification: 4/1/00 County / State: Racine Liza Spofford Current: 4/1/03 436 S. Main Street Expires: 3/31/05 Mark Isaacs Racine, WI 53403 (262) 637-8820 2220 Racine Psychological Services, Inc. Mary Jane Whitmore 840 Lake Avenue, #101 Racine, WI 53403 (262) 634-8688 Racine Psychological Services, Inc. 209 N. Main Street Burlington WI 53105 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 53406 (262) 687-8626 Initial ification: 7/11/01 Current: 8/1/04 County / State: Racine Expires: 7/31/06 Mark Isaacs CSAS-Day Treatment HFS 75.12 2341 Quality Addiction Management - Taylor Crossings Office Charles Engel 6233 Bankers Road, #10 Racine, WI 53403 (262) 598-1392 Initial ification: 11/12/01 Current: 7/1/04 County / State: Racine Expires: 8/31/06 Mark Isaacs CSAS-Narcotic Treatment HFS 75.15

Page 152 of 203 2354 ified Provider Address, Contact, Phone Lauren Murphy Payne & Associates Lauren Murphy Payne 5605 Washington Avenue, #6 Racine, WI 53406 (262) 639-3215 (262) 833-0128 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 116-10th Street Racine, WI 53403 (262) 635-9355 (262) 637-5246 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 534031144 (262) 619-3264 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 53403 (262) 638-6697 (262) 638-6278 Initial ification: 1/1/04 Current: 1/1/04 Expires: 12/31/04 County / State: Racine Mental Health-Emergency Service 3 Mark Isaacs HFS 34.3 2499 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 53401 (262) 635-9730 (608) 233-0019 ACS Clinical Services 2266 N. Prospect, Suite 204 & P.O. Box 510605 205 Milwaukee WI 532030101 ACS Clinical Services 1213-55th Street Lower P.O. Box 147 Kenosha WI 531410147 ACS Clinical Services 137 Wisconsin Avenue P.O. Box 846 Waukesha WI 531870846 2031 Clinical Psychology Associates of Waterford David Thompson 207B N. Milwaukee Street Waterford, WI 53185 (262) 534-7777 Initial ification: 6/2/98 Current: 6/1/03 Expires: 5/31/05 County / State: Racine Mark Isaacs

Page 153 of 203 1424 ified Provider Address, Contact, Phone Huebner & Associates White Pine Center Beth Huebner 23295 U.S. Highway 14, West Richland Center, WI 53581 (608) 647-4705 (608) 647-8979 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 53581 (608) 647-6384 (608) 647-8867 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 75.05 2335 Richland County Health & Human Services Community Support Program Heather Leach 1000 Highway 14 West Richland Center, WI 53581 (608) 647-6384 (608) 647-8867 Initial ification: 1/1/88 Current: 2/1/04 Expires: 1/31/06 County / State: Richland Mental Health-Community Support Program HFS 63 1099 Beloit Inner City Council, Inc./Division of Tellurian UCAN Emma Harrell 403 Prospect Avenue Beloit, WI 535116334 (608) 365-6600 (608) 365-7787 Initial ification: 5/1/91 Current: 5/1/03 Expires: 4/30/05 County / State: Rock CSAS-Prevention HFS 75.04 1100 Beloit Memorial Hospital-Counseling Care Center Greg Ammon 1969 W. Hart Road Beloit, WI 535112288 (608) 364-5686 Beloit Memorial Hospital - Counseling Care Center 5512 Elevator Road Roscoe IL 61073 Janesville Occupational Health 1409B Crestan Park Drive Janesville WI 53545 Initial ification: 7/1/85 Current: 12/1/03 Expires: 11/30/05 County / State: Rock

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: 7/1/04 423 Bluff Street Expires: 5/31/06 Beloit, WI 53511 (608) 365-1244 (608) 365-4097 1611 Mercy Options Outpatient Services Initial ification: 1/1/96 County / State: Rock Greg Winkler Current: 1/1/04 2825 Prairie Avenue Expires: 12/31/05 Beloit, WI 53511 (608) 362-7330 (608) 756-0174 CSAS-Day Treatment HFS 75.12 1804 Rock County Human Services Department - Beloit Community Support Program Initial ification: 9/1/89 County / State: Rock Charmian Klyve Current: 5/1/03 822 Broad Street Expires: 4/30/05 Beloit, WI 53511 (608) 757-5270 Mental Health-Community Support Program HFS 63 1808 Rock County Human Services Department Beloit Counseling Center Jody Farmer 822 Broad Street Beloit, WI 53511 (608) 363-6300 Initial ification: 10/1/75 Current: 9/1/03 County / State: Rock Expires: 8/31/05 2198 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 53511 (608) 361-0311 (608) 361-0312 CSAS-Day Treatment HFS 75.12 1023 Alcohab, Inc. New Dawn Residential Treatment Betty Wagner 430 N. Jackson Street Janesville, WI 53545 (608) 754-6800 Initial ification: 9/16/94 Current: 10/1/02 County / State: Rock Expires: 9/30/04 CSAS-Transitional Residential HFS 75.14

Page 155 of 203 1049 ified Provider Address, Contact, Phone Applied Mental Health Consultants, LLC Robert Gordon 29 W. Milwaukee Street, #201 Janesville, WI 53545 (608) 756-2767 Applied Mental Health Consultants, LLC 6085 Strathmoor Drive Rockford IL 60117 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 53545 (608) 752-7255 Associates In Psychotherapy 636 Park Street Beloit WI 53511 (608) 752-6942 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 53546 (608) 756-9090 (608) 756-2920 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 53545 (608) 752-4906 (608) 752-9699 Initial ification: 5/1/88 Current: 5/1/04 Catholic Charities of the Diocese of Madison, Inc. - Janesv 3311 Prairie Avenue Beloit WI 53511 Expires: 4/30/06 County / State: Rock 1265 Crossroads Counseling Center Tim Perry 17 S. River Street, #254 Janesville, WI 53545 (608) 755-5260 (608) 755-5267 Initial ification: 9/1/77 Current: 1/1/03 Expires: 9/30/04 County / State: Rock Mental Health-Day Treatment for HFS Children 1 40.11(2)(a)

Page 156 of 203 1381 ified Provider Address, Contact, Phone Genesis Counseling Services, Ltd. Pam Stevens One S. Main Street Janesville, WI 53545 (608) 757-0404 Monroe Professional Center 227 Fourth Street Monroe WI 53566 (608) 757-2319 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 53545 (608) 757-0191 (608) 755-1733 Initial ification: 10/1/81 Current: 12/1/02 Expires: 11/30/04 County / State: Rock Mental Health-Day Treatment for HFS Children 1 40.11(2)(a) 1532 LSS Counseling Clinic - Janesville Meg Groves 612 N. Randall Street Janesville, WI 53545 (608) 752-7660 (608) 277-0448 LSS Counseling Clinic - Beloit 737 Bluff Street Beloit WI 53511 Initial ification: 7/1/97 Current: 7/1/04 Expires: 6/30/05 County / State: Rock

Page 157 of 203 1610 ified Provider Address, Contact, Phone Mercy Options - Outpatient Services Lisa Usgaard 113 S. Franklin Street Janesville, WI 53545 (608) 756-5555 Mercy Health Mall 1010 N. Washington Janesville WI 53545 (608) 756-0174 Mercy Options - Outpatient Services 507 W. Main Street Whitewater WI 53190 Mercy Options - Outpatient Services 1000 Mineral Point Road Janesville WI 53545 Mercy Options - Outpatient Services 300 Union Street Evansville WI 53536 Mercy Options - Outpatient Services 3524 E. Milwaukee Street Janesville WI 53546 Initial ification: 1/1/93 Current: 1/1/04 Expires: 12/31/05 County / State: Rock CSAS-Day Treatment HFS 75.12 1612 Mercy Options - Mercy Health Systems Greg Winkler 1000 Mineral Point Road Janesville, WI 53545 (608) 756-5555 (608) 756-0174 Initial ification: 10/1/84 Current: 7/1/03 County / State: Rock Expires: 6/30/05 Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Day Treatment HFS 75.12 1803 Rock County Human Services Crisis Intervention Unit Jody Farmer 3530 N. County Highway F Janesville, WI 53547 (608) 757-5025 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 75.05 1805 Rock County Human Services Department Janesville Community Support Program Charmian Klyve 35 S. Main Street Janesville, WI 53545 (608) 757-5270 Initial ification: 9/1/89 Current: 5/1/03 Expires: 4/30/05 County / State: Rock Mental Health-Community Support Program HFS 63

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 53545 (608) 757-5378 Initial ification: 10/1/75 Current: 9/1/03 County / State: Rock Expires: 8/31/05 1807 Rock County Human Services Department Janesville Counseling Center Jody Farmer 3506 N. US Highway 51 Janesville, WI 53547 (608) 757-5215 Initial ification: 10/1/75 Current: 9/1/03 County / State: Rock Expires: 8/31/05 1809 Rock Valley Community Programs, Inc. Treatment Alternative Program Initial ification: 3/1/90 County / State: Rock Nancy Gilligan-O'Brien Current: 3/1/04 203 W. Sunny Lane Rd. Expires: 2/28/06 Janesville, WI 53546 (608) 741-4515 (608) 741-4516 CSAS-Day Treatment HFS 75.12 2121 Regional Employee Assistance Services, Inc. Initial ification: 7/1/99 County / State: Rock Gordon Lynch Current: 7/1/02 2316 Mineral Point Avenue Expires: 6/30/04 Janesville, WI 53545 (608) 752-4500 2391 Rock County Detox Operated by Tellurian UCAN Melody Music Twilla 3530 N CTH F Janesville, WI 53547 (608) 757-5225 (608) 757-5374 Initial ification: 8/12/02 Current: 3/1/03 Expires: 7/31/04 County / State: Rock CSAS-Medically Monitored Residential Detox HFS 75.07 2436 Alcohab, Inc. The River Commons Initial ification: 5/1/03 County / State: Rock Betty Wagner Current: 7/1/04 786 S. Main Street Expires: 4/30/05 Janesville, WI 53545 (608) 754-6800 (608) 754-2651 CSAS-Transitional Residential HFS 75.14 1345 Family Tree Mental Health Clinic Initial ification: 3/1/98 County / State: Rock Lois Hadley Current: 3/1/03 508 Campus Street, #6 Expires: 2/28/05 Milton, WI 53563 (608) 868-5122

Page 159 of 203 ified Provider Address, Contact, Phone 1221 Community Counseling Center Initial ification: 7/1/89 County / State: Rusk Thomas Ricci Current: 7/1/03 1130 Lake Avenue W Expires: 6/30/05 K. L. Polly Wong Ladysmith, WI 54848 (715) 532-5580 1571 Marshfield Clinic Ladysmith Center Initial ification: 7/1/99 County / State: Rusk Kathleen Ertz Current: 7/1/04 906 College Avenue, West Expires: 6/30/06 K. L. Polly Wong Ladysmith, WI 54848 (715) 532-2345 Marshfield Clinic Cornell Center 21 Main Street Cornell WI 54732 2144 Marriage and Family Health Services, Ltd. Initial ification: 5/1/99 County / State: Rusk Thomas Johnston Current: 5/1/04 612 E. Worden Avenue Expires: 4/30/06 K. L. Polly Wong Ladysmith, WI 54848 (715) 532-0632 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 54848 (715) 532-5940 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 707-14th Street Baraboo, WI 53913 (608) 356-1400 (608) 356-1367 Initial ification: Current: Expires: County / State: Sauk CSAS-Medically Managed HFS 75.06 Inpatient Detox Clairion Center - St. Clare Hospital & Health Services 707 - Fourteenth Street Baraboo, WI 53913 Initial ification: Current: Expires: County / State: Sauk

Page 160 of 203 1414 ified Provider Address, Contact, Phone Ho-Chunk Nation Alcohol/Drug Program Services Terry Little Wolf House of Wellness S2845 White Eagle Road Baraboo, WI 53913 (608) 355-1254 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 53913 (608) 356-0528 (608) 356-6004 Innervisions Counseling and Consulting Center, SC 1334 Dewey Court Madison WI 53703 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 53913 (608) 524-7907 Initial ification: 7/1/90 Current: 7/1/04 Expires: 8/31/04 County / State: Sauk Mental Health-Community Support Program HFS 63 1824 Sauk County Human Services Ken Cady 505 Broadway Street Baraboo, WI 53913 (608) 355-4200 (608) 355-4299 Sauk County Human Services 425 Sixth Street Reedsburg WI 53959 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 75.05 1984 Pathway Clinic, SC Bonnie Merlet 635-15th Street Baraboo, WI 53913 (608) 356-9884 (608) 356-0985 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 53913 (608) 355-1800 Initial ification: 10/1/98 Current: 10/1/03 County / State: Sauk Expires: 9/30/04 Mental Health-Day Treatment HFS 61.75

Page 161 of 203 2087 ified Provider Address, Contact, Phone St. Clare Center, St. Clare Hospital Karen Alvin 707 Fourteenth Street Baraboo, WI 53913 (608) 356-1533 (608) 356-1365 Initial ification: 11/25/98 Current: 5/1/04 Expires: 1/31/05 County / State: Sauk Mental Health-Inpatient HFS 61.71 CSAS-Emergency Outpatient HFS 75.05 CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 2140 Baraboo Psychological Services Kathrine Halley 227-5th Avenue Baraboo, WI 53913 (608) 356-9066 Baraboo Psychological Services 6320 Monona Drive Monona WI 53913 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 53913 (608) 963-0968 (608) 355-4106 Initial ification: 4/1/03 Current: 4/1/04 Expires: 3/31/06 County / State: Sauk 1769 Quaker Valley Counseling Services Myron Mickelson E. 1475 Owens Drive La Valle, WI 53941 (608) 985-7187 (608) 985-8187 St. Joseph's Hospital 400 Water Street Hillsboro WI 54634 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 53578 (608) 643-3663 (608) 643-5014 Pathway Clinic, S.C. 436 Sunrise Drive Spring Green WI 53588 Initial ification: 9/1/84 Current: 1/1/03 Expires: 12/31/04 County / State: Sauk

Page 162 of 203 2482 ified Provider Address, Contact, Phone Diversified Counseling Services, LLC Barbara Goodman 222 N. Walnut Street, #B Reedsburg, WI 53959 (608) 393-7470 (608) 524-8969 Initial ification: 10/1/03 Current: 10/1/03 Expires: 9/30/04 County / State: Sauk 1397 Hayward Area Memorial Hospital Jan McKichan 11040 N. State Highway 77 Hayward, WI 54843 (715) 634-8911 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 75.06 1486 Lac Courte Orielles Community Health Center Mike Williams 13380 W. Trepania Road Hayward, WI 548432186 (715) 634-4795 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 54843 (715) 634-4806 Information and Referral Center 5180 N. Main Street Winter WI 54896 Initial ification: 4/1/79 Current: 7/1/04 Expires: 6/30/06 County / State: Sawyer Steven Ojibway CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05 2164 Impact Counseling Services, LLC Renee Millwood 10045N State Highway 27 Hayward, WI 54843 (715) 634-0607 (000) 000-0000 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 1 40.11(2)(a)

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: 4/1/03 10045 N. Highway 27 Expires: 3/31/05 Steven Ojibway Hayward, WI 54843 (715) 634-0222 (715) 373-0162 Northland Counseling Services, Ltd. Main Street Winter WI 54896 2330 Northland Community Services Community Support Program Initial ification: 2/1/01 County / State: Sawyer Carol Lund Current: 9/1/02 10339 S. Florida Avenue Expires: 8/31/04 Steven Ojibway Hayward, WI 54843 (715) 634-2522 (715) 373-0162 Mental Health-Community Support Program HFS 63 2470 Noo Jii Moo Wii Ga Mieg (Lac Courte Oreilles Halfway House) Diane Sullivan 13394 W. Trepania Road Hayward, WI 54843 (715) 634-5841 (715) 634-1059 Initial ification: 7/18/03 Current: 7/18/03 County / State: Sawyer Expires: 6/30/04 Steven Ojibway CSAS-Transitional Residential HFS 75.14 1882 Stockbridge-Munsee Health and Wellness Center Rebecca Onesti W12802 County Road A Bowler, WI 54416 (715) 793-3000 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 54128 (715) 799-3835 (715) 799-3836 Initial ification: 11/21/89 Current: 12/1/03 County / State: Shawano Expires: 11/30/05 Frank Bellaire CSAS-Prevention HFS 75.04 CSAS-Day Treatment HFS 75.12

Page 164 of 203 1518 ified Provider Address, Contact, Phone Lutheran Counseling and Family Services of Wisconsin, Inc. Chuck Meseck 324 S. Andrews Street Shawano, WI 54166 (715) 524-4840 Initial ification: 10/25/93 Current: 4/1/04 Lutheran Counseling and Family Services of Wisconsin, In 210 S. Oneida Street Green Bay WI 543031947 Expires: 3/31/06 County / State: Shawano Frank Bellaire 1831 Shawano County Department of Community Programs Barbara Larson-Herber 504 Lakeland Road Shawano, WI 54166 (715) 526-5547 Birnamwood General Clinic 400 Railroad Avenue Birnamwood WI 54414 Shawano County Department of Community Programs 110 Cedar Street Tigerton WI 54486 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 75.05 1832 Shawano Medical Center John Kestly 309 N. Bartlette Street Shawano, WI 54166 (715) 526-2111 Initial ification: 10/1/78 Current: 4/1/03 Expires: 3/31/05 County / State: Shawano CSAS-Medically Managed Inpatient Detox Frank Bellaire HFS 75.06 1896 Synergy Counseling Services, S.C. Neil Van Rossum 420 E. Green Bay Street, #201 Shawano, WI 54166 (715) 526-5466 Synergy Counseling Services, S.C. 32 Hughes Street Clintonville WI 54929 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 54124 2105 Libertas of Shawano Patrick Ryan 420 E. Green Bay Street, #204 Shawano, WI 54166 (715) 524-6561 Initial ification: 3/1/99 Current: 4/1/03 Expires: 3/31/05 County / State: Shawano Frank Bellaire

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: 1/1/03 504 Lakeland Road Expires: 12/31/04 Frank Bellaire Shawano, WI 54166 (715) 526-5547 Mental Health-Community Support Program HFS 63 2425 LSS Homme Outpatient Clinic - Shawano Gregory H. Robbins 607 E. Elizabeth Shawano, WI 54166 (715) 253-2116 (715) 253-3188 LSS Homme Outpatient Clinic - Shawano 111 N. Jefferson Street Green Bay WI 54305 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 54166 (715) 524-8896 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: 11/1/03 107 Vinal Street P. O. 247 Expires: 10/31/05 K. L. Polly Wong Wittenberg, WI 54499 (715) 253-6064 (715) 253-3640 2393 LSS Homme Youth and Family Programs, LSS Homme Outpatient Clinic Gregory Robbins W18105 Hemlock Road Wittenberg, WI 54499 (715) 253-2116 (705) 253-3586 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 53073 (920) 892-7788 (414) 525-2798 Initial ification: 10/17/03 Current: 10/17/03 County / State: Sheboygan Expires: 10/31/04 Frank Bellaire

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 53081 (920) 458-5726 Initial ification: 4/1/83 Catholic Charities of the Archdiocese of Milwaukee, Inc. 139 N. Main Street West Bend WI 53095 Catholic Charities of the Archdiocese of Milwaukee, Inc. 430 N. Johnson Street Port Washington WI 53074 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: 12/1/03 601 S. 8th Street Expires: 11/30/05 Frank Bellaire Sheboygan, WI 53081 (920) 458-5062 1328 Family Service Association Eldon Burg 1930 N. 8th Street Sheboygan, WI 53081 (920) 458-8840 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 53081 (920) 457-7802 (414) 777-1565 Initial ification: 11/1/91 Current: 11/1/02 County / State: Sheboygan Expires: 10/31/04 Frank Bellaire CSAS-Transitional Residential HFS 75.14 1499 Lakeshore Mental Health, Inc. Initial ification: 5/9/94 County / State: Sheboygan Brian Lukach Current: 5/1/04 3151 Saemann Avenue Expires: 4/30/05 Frank Bellaire Sheboygan, WI 53081 (920) 458-5557 Lakeshore Mental Health, Inc. 453 E. Brooklyn Street Chilton WI 53014 1501 Lakeside Clinic Initial ification: 2/1/85 County / State: Sheboygan Vincent Graser Current: 3/1/03 833 Pennsylvania Avenue, #103 Expires: 2/28/05 Frank Bellaire Sheboygan, WI 53081 (920) 458-9434

Page 167 of 203 ified Provider Address, Contact, Phone 1504 Libertas of Sheboygan Patrick W Ryan 3149 Saemann Avenue Sheboygan, WI 53081 (920) 803-0740 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: 8/1/03 314 Niagara Avenue Expires: 7/31/04 Frank Bellaire Sheboygan, WI 53081 (920) 451-8667 Lighthouse Therapy Services, LLC 11512 N. Pt. Washington Road Mequon WI 53092 Lighthouse Therapy Services, LLC 74 S. Main Street Fond du Lac WI 54935 1519 Lutheran Counseling and Family Services of Wisconsin, Inc. Chuck Meseck 1614 S. 23rd Street Sheboygan, WI 530813299 (800) 291-4513 Initial ification: 4/1/96 Current: 4/1/04 Lutheran Counseling and Family Services of Wisconsin, In 222 Strafford Street Plymouth WI 53073 Lutheran Counseling and Family Services of Wisconsin, In 1712 Menasha Avenue Manitowoc WI 54220 Lutheran Counseling and Family Services of Wisconsin, In 717 Memorial Drive Chilton WI 53014 Expires: 3/31/06 County / State: Sheboygan Frank Bellaire 1656 Nett-Work Family Counseling, LLC Christine Nett 4027 S. Business Drive, #202 Sheboygan, WI 53081 (920) 803-8188 Nett-Work Family Counseling, LLC 605 Fremont Street Kiel WI 53043 Initial ification: 2/27/98 Current: 3/1/03 County / State: Sheboygan Expires: 2/28/05 Frank Bellaire

Page 168 of 203 1699 ified Provider Address, Contact, Phone Northshore Clinic of Sheboygan, Inc. Patricia Connors 615 S. 8th Street Sheboygan, WI 53081 (920) 457-8866 (920) 457-8867 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 53082 (920) 451-6908 Sheboygan Counseling & Wellness Center, LLC 1415 Eastern Avenue Plymouth WI 53073 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 53081 (920) 459-3181 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 75.05 1835 Aurora Sheboygan Memorial Medical Center William Bronson 2629 N. 7th Street Sheboygan, WI 53083 (920) 451-5548 Aurora Sheboygan Memorial Medical Center 210 Selma Street Plymouth WI 53073 Initial ification: 5/1/87 Current: 5/1/04 Expires: 4/30/06 County / State: Sheboygan Frank Bellaire Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Medically Monitored HFS 75.11 Treatment

Page 169 of 203 ified Provider Address, Contact, Phone 1925 Aurora Sheboygan Clinic Initial ification: 7/1/86 County / State: Sheboygan Edmund Dy Current: 7/1/04 2414 Kohler Memorial Drive Expires: 6/30/06 Frank Bellaire Sheboygan, WI 53081 (920) 457-4461 Aurora Sheboygan Clinic 2336 Eastern Avenue Plymouth WI 53073 Aurora Sheboygan Clinic 635 Paine Avenue Kiel WI 53042 1989 Wholistic Health Counseling Services Marianne Helm 5934 S. Business Drive, Hwy OK Sheboygan, WI 53081 (920) 459-9277 (920) 459-9277 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 53081 (920) 803-8180 (920) 803-8321 Family - Youthworks, Inc. 1701 Washington Street Manitowoc WI 54220 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: 2/1/04 1106 N. 9th Street Expires: 1/31/05 Frank Bellaire Sheboygan, WI 53082 (920) 208-3340 2315 Sheboygan County Department of Health and Human Services CSP Initial ification: 7/1/96 County / State: Sheboygan Myles Tonnacliff Current: 10/1/01 1011 N. 8th Street Expires: 9/30/03 Frank Bellaire Sheboygan, WI 53081 (920) 459-3181 Mental Health-Community Support Program HFS 63

Page 170 of 203 2527 ified Provider Address, Contact, Phone Cedar Creek Family Counseling Buckley Meade 837 Riverfront Drive, #203 Sheboygan, WI 53081 (800) 891-2502 (414) 427-4889 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 730 10th Avenue Baldwin, WI 54002 (715) 684-3648 (715) 684-3649 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 54016 (715) 386-6125 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 75.11 Treatment CSAS-Transitional Residential HFS 75.14 1173 Hudson Hospital, Programs for Change Nancy Murphy 405 Stageline Road Hudson, WI 54016 (715) 531-6750 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 54016 (651) 489-4840 Initial ification: 4/20/04 Current: 4/20/04 County / State: St Croix Expires: 5/1/05 Roderic Senn

Page 171 of 203 1702 ified Provider Address, Contact, Phone Northwest Counseling Services, S.C. Peggy Audley 240 Wisconsin Drive, #104 New Richmond, WI 54017 (715) 246-7777 (715) 246-7775 Northwest Counseling Services, S.C. 370 Third Avenue Clear Lake WI 54005 Northwest Counseling Services, S.C. 314 N. 2nd Street, #250 River Falls WI 54022 Northwest Counseling Services, S.C. 502 Second Street, #302 Hudson WI 54016 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 540176004 (715) 246-6991 (715) 246-8284 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 2 1856 St. Croix County Health & Human Services Community Support Program Ron Kiesler 1445 North 4th Street New Richmond, WI 54017 (715) 246-6991 (715) 246-8225 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 63 1857 St. Croix Psychological Clinic John Hamann 258 Riverside Drive River Falls, WI 54022 (715) 425-7031 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 54451 (715) 356-4357 (715) 748-4536 Initial ification: 11/1/78 Current: 7/1/02 County / State: Taylor Expires: 6/30/04 Steven Ojibway

Page 172 of 203 1675 ified Provider Address, Contact, Phone North Central Counseling Center Joseph Roe 136 W. Broadway Medford, WI 54451 (715) 748-4535 North Central Counseling Center 1511 Railroad Avenue P.O. Box 104 Prentice WI 54556 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 54451 (715) 748-3332 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 54612 (608) 323-7775 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 75.05 CSAS-Medically Managed HFS 75.06 Inpatient Detox 1371 Franciscan-Skemp Behavioral Health Community Support Program Mary Olstad-Hanson 464 S. St. Josephs Avenue Arcadia, WI 54612 (608) 323-7775 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 63 1316 Family and Children's Center, Inc. Sheri Bohland Highway 14 North Viroqua, WI 54665 (608) 637-7052 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 1 40.11(2)(a)

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 54665 (608) 637-7052 Mental Health-Community Support Program HFS 63 1754 Psychiatric Associates Counseling Center, LLC Anita Zibton 122 West South Street Viroqua, WI 54665 (608) 637-2511 Psychiatric Associates Counseling Center, LLC 525 N. Prairie Street Prairie du Chien WI 53821 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: 9/1/03 507 S. Main Street Expires: 8/31/04 Roderic Senn Viroqua, WI 54665 (608) 637-2101 CSAS-Medically Managed Inpatient Detox HFS 75.06 2398 Viroqua Healing Arts Mental Health Center Susan Kopp Townsley 224 East Court Street Viroqua, WI 54665 (608) 637-7600 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: 6/1/01 201 Hospital Road Expires: 5/31/03 Steven Ojibway Eagle River, WI 54521 (715) 479-7411 CSAS-Medically Managed Inpatient Detox HFS 75.06 1472 Koller Behavioral Health a Division of Howard Young Medical Initial ification: 8/1/78 County / State: Vilas Chris Hartlep Current: 5/1/01 150 Hospital Road Expires: 4/30/03 Steven Ojibway Eagle River, WI 54521 (715) 356-8540

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: 12/1/03 223 Silver Lake Road Expires: 11/30/05 Steven Ojibway Eagle River, WI 54521 (800) 291-4513 1325 Family Resource Center Initial ification: 9/1/88 County / State: Vilas Linda Daniels Current: 9/1/03 533 Peace Pipe Road Expires: 8/31/05 Steven Ojibway Lac du Flambeau, WI 54538 (715) 588-9818 1713 O'Connell, Long and Associates Counseling Services Susan O'Connell 2100 Church Street East Troy, WI 53120 (262) 642-5080 O'Connell, Long and Associates Counseling Services 5411 Highway 50 Delavan WI 53115 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 53121 (262) 723-3424 (262) 723-8308 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 53121 (262) 741-2000 CSAS-Emergency Outpatient HFS 75.05 CSAS-Medically Managed Inpatient Detox HFS 75.06 1967 Walworth County Health and Human Services Thomas Mackesey W3955 County Trunk NN Elkhorn, WI 53121 (262) 741-3200 Initial ification: 10/1/75 Current: 9/1/02 County / State: Walworth Expires: 8/31/04 Mark Isaacs

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 53121 (262) 723-1455 CSAS-Day Treatment HFS 75.12 1991 Wisconsin Community Mental Health Counseling Centers, Inc. Lawrence Kane, III 155 E. Capitol Drive, #1 Hartland, WI 53029 (262) 473-6119 Initial ification: 9/1/85 Wisconsin Community Mental Health Counseling Centers, 120 N. Main Street, #2 Hartford WI 53027 Wisconsin Community Mental Health Counseling Centers, 10500 N. Pt. Washington Rd., #101 Mequon WI 53092 Current: 7/1/02 Expires: 6/30/04 County / State: Walworth Mark Isaacs Wisconsin Community Mental Health Counseling Centers, 10701 W. Forest Home Avenue Hales Corners WI 53130 Wisconsin Community Mental Health Counseling Centers, 120 N. Main Street, #250 West Bend WI 53095 1419 Centegra Behavioral Health Initial ification: 4/1/90 County / State: Walworth Eshwar Gumidyala Current: 1/1/04 700 Geneva Parkway, #B Expires: 12/31/04 Mark Isaacs Lake Geneva, WI 53147 (262) 248-0111 1492 Lake Geneva Wellness Clinic Initial ification: 2/1/84 County / State: Walworth Jon Carlson Current: 4/1/03 101 Broad Street, #201 Expires: 3/31/05 Mark Isaacs Lake Geneva, WI 53147 (262) 248-7942 (262) 248-1202 2403 Mercy Options - Outpatient Services Lisa Reeves N2950 State Road 67 Lake Geneva, WI 53147 (800) 341-1450 Initial ification: 10/16/02 Current: 10/16/02 County / State: Walworth Expires: 10/31/04 Mark Isaacs

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 53147 (262) 249-4620 Initial ification: 2/1/04 Current: 2/1/04 Aurora Medical Group Behavioral Health Svs - Lake Genev 1550 Hobbs Drive Delavan WI 53115 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: 5/1/03 209 Taft Street Expires: 4/30/05 Mark Isaacs Whitewater, WI 53190 (262) 473-5234 2422 Family Resources Associates, Inc. Donald J. Meyer 1173 W Main St Whitewater, WI 53190 (262) 473-6465 (920) 261-8801 Family Resources Associates, Inc. 331 N. Main Street Lake Mills WI 53551 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: 1/1/03 93-1/2 W. Geneva Street Expires: 12/31/04 Mark Isaacs Williams Bay, WI 53191 (262) 245-6616 (262) 245-6658 2506 Soar Counseling Services Cheri Heibel 11 Fifth Avenue Shell Lake, WI 54871 (715) 468-2841 (715) 468-2374 Shell Lake Elementary & High School 271 Highway 63 Shell Lake WI 54871 Initial ification: 3/11/04 Current: 3/11/04 County / State: Washburn Expires: 3/31/05 Roderic Senn 1404 Healthy Relationships, Inc. Brenda Schaeffer 27306 County Road A Spooner, WI 54801 (715) 635-9545 Initial ification: 6/15/93 Current: 11/1/02 County / State: Washburn Expires: 10/31/04 Roderic Senn

Page 177 of 203 ified Provider Address, Contact, Phone 1845 Spooner Health Systems Linda Trent 819 Ash Street Spooner, WI 54893 (715) 635-2111 Initial ification: 11/1/89 Current: 11/1/01 Expires: 9/30/03 County / State: Washburn CSAS-Medically Managed Inpatient Detox Roderic Senn HFS 75.06 2449 Northwest Counseling and Guidance Clinic Initial ification: 2/3/03 County / State: Washburn Tim Newlin Current: 2/1/04 412 N River Street Expires: 1/31/05 Roderic Senn Spooner, WI 54801 Northwoods Community Health Center 600 Shell Creek Road Minong WI 54859 2385 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 53022 (414) 454-6506 (414) 454-6536 2429 Lutheran Social Services - Germantown Bernestine Jeffers N112 W15568 Mequon Road Germantown, WI 53033 (262) 255-6702 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: 4/1/04 1567 E. Sumner Street Expires: 3/31/06 Mark Isaacs Hartford, WI 53027 (262) 673-4477 1464 Kettle Moraine Treatment Center-Hartford Initial ification: 4/1/97 County / State: Washington Current: 8/1/98 1567 E. Sumner Street Expires: Mark Isaacs Hartford, WI 53027 (414) 673-4477

Page 178 of 203 ified Provider Address, Contact, Phone 1017 Affiliated Clinical Services, Inc. Peter Josse 400 W. River Drive West Bend, WI 53090 (262) 338-2717 (262) 338-9767 Affiliated Clinical Services, Inc. 38 Sell Drive, #B Hartford WI 53027 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 53095 (262) 338-9498 Initial ification: 2/15/96 Current: 2/1/04 County / State: Washington Expires: 1/31/06 Mark Isaacs CSAS-Day Treatment HFS 75.12 1243 Council on AODA of Washington County Initial ification: 3/1/90 County / State: Washington Mary Simon Current: 3/1/03 1625 E. Washington, #300 Expires: 2/28/05 Mark Isaacs West Bend, WI 53095 (262) 335-6888 CSAS-Prevention HFS 75.04 1465 Genesis Behavioral Services Initial ification: 1/1/87 County / State: Washington John Monacelli Current: 1/1/04 1626 Clarence Court Expires: 12/31/05 Mark Isaacs West Bend, WI 53095 (262) 338-8611 Genesis Behavioral Services W157 N11539 Fond du Lac Avenue Germantown WI 53022 CSAS-Day Treatment HFS 75.12 Genesis Behavioral Services 279 S. 17th Avenue West Bend WI 53095 Genesis Behavioral Services 500 N. Schmidt Road West Bend WI 53095 1696 Northshore Clinic & Consultants, Inc. Joy Myers 1615 Barton Avenue West Bend, WI 53090 (262) 334-5323 Initial ification: 11/1/91 Current: 11/1/03 County / State: Washington Expires: 10/31/05 Mark Isaacs

Page 179 of 203 1968 ified Provider Address, Contact, Phone Washington County Mental Health Center John Easterday 333 E. Washington Street #2000 West Bend, WI 53095 (262) 335-4600 Initial ification: 10/1/75 Current: 5/1/03 Expires: 4/30/05 County / State: Washington Mark Isaacs Mental Health-Day Treatment HFS 61.75 Mental Health-Emergency HFS 34.3 Service 3 1969 Washington County Mental Health Center - Inpatient John Easterday 551 Silverbrook Drive West Bend, WI 53095 (262) 335-4545 Initial ification: 6/5/89 Current: 5/1/03 Expires: 4/30/05 County / State: Washington Mark Isaacs Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06 2080 2303 Ziegler & Braaksma, Inc. Gene Braaksma 125 S. Main Street West Bend, WI 53095 (262) 338-1900 Ziegler & Braaksma 2266 N. Prospect Avenue Milwaukee WI 53211 Ziegler & Braaksma 175 E Wisconsin Avenue Oconomowoc WI 53066 (262) 338-1837 Washington County Mental Health Center Community Support Program Jim Strachota 333 E. Washington St., #2000 West Bend, WI 53095 (262) 335-4600 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 63 2453 Cornerstone Counseling Services, Inc. Scott Allen 279 S. 17th Ave, Suite 10 West Bend, WI 53095 (262) 789-1191 (262) 821-6180 Initial ification: 5/1/03 Current: 5/1/04 Expires: 4/30/06 County / State: Washington Mark Isaacs

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 53103 (262) 662-1116 Initial ification: 12/1/99 Current: 6/1/03 County / State: Waukesha Expires: 5/31/05 Mark Isaacs CSAS-Day Treatment HFS 75.12 1111 Bray Consultants Initial ification: 4/1/92 James Bray Current: 4/1/04 16655 W. Bluemound Road, #300 Expires: 3/31/06 Brookfield, WI 53005 (262) 821-0588 Bray Consultants @ Sussex Family Practice Center N64 W24086 Main Street Sussex WI 53089 County / State: Waukesha Mark Isaacs 1150 Center For Holistic Health Initial ification: 2/4/98 County / State: Waukesha Robin Coleman Current: 2/1/03 19035 W. Capitol Drive, #106 Expires: 1/31/05 Mark Isaacs Brookfield, WI 530452706 (262) 691-3844 1237 Cornerstone Counseling Services, Inc. Initial ification: 3/1/93 County / State: Waukesha Scott Allen Current: 3/1/04 16535 W. Bluemound Road, #200 Expires: 2/28/06 Mark Isaacs Brookfield, WI 53005 (262) 789-1191 1297 Elmbrook Family Counseling Center Initial ification: 3/1/78 County / State: Waukesha Howard Haven Current: 4/1/03 12690 W. North Avenue Expires: 3/31/05 Mark Isaacs Brookfield, WI 53005 (414) 785-9188 (262) 785-0644 1507 Life-Span Family Services Thomas Lehmann 13035 W. Bluemound Road, #100 Brookfield, WI 53005 (262) 784-1121 Life-Span Family Services 2015 E. Newport Avenue, #308 Milwaukee WI 532112990 Initial ification: 11/1/89 Current: 1/2/04 County / State: Waukesha Expires: 10/31/05 Mark Isaacs

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: 8/1/04 675 N. Brookfield Road Expires: 7/31/06 Mark Isaacs Brookfield, WI 53045 (262) 789-9171 (262) 789-8759 Suburban Counseling Services, Inc. N6 W23673 Bluemound Road Waukesha WI 53188 1897 Systemic Perspectives, Inc. Nancy Adams 2515 N. 124th Street, #101 Brookfield, WI 53005 (262) 641-4347 (262) 641-4350 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 53005 (262) 784-6628 (262) 784-6654 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 53005 (262) 928-2396 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: 4/1/04 4065A N. Calhoun Road, #201 Expires: 3/31/06 Mark Isaacs Brookfield, WI 53005 (262) 373-0553 (262) 373-0130 2461 Wisconsin Early Autism Project, Inc Glen Sallows 150 N. Sunnyslope Rd., Suite 100 Brookfield, WI 53005 (262) 432-5660 Initial ification: 5/20/03 Current: 6/1/04 County / State: Waukesha Expires: 5/31/06 Mark Isaacs

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 53005 (262) 797-0315 (414) 453-6523 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: 3/1/04 14260 W. Greenfield Avenue, #102 Expires: 2/28/05 Mark Isaacs Brookfield, WI 53005 (262) 797-8994 (262) 797-8994 2520 Holistic Wellness Center, LLC Jeff S. Hollowell 675 N. Brookfield Road Brookfield, WI 530455858 (262) 641-9300 (608) 641-9307 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 53118 (262) 965-2131 1043 American Behavioral Clinics, SC - Elmbrook Clinic Deana Ohman 15285 Watertown Plank Road Elm Grove, WI 53122 (262) 797-2818 (262) 797-2814 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: 6/1/03 12970 W. Bluemound Road, #308 Expires: 5/31/05 Mark Isaacs Elm Grove, WI 53122 (414) 789-0100

Page 183 of 203 ified Provider Address, Contact, Phone 2318 West Grove Clinic Fred Malesevich 12425 Knoll Road, #110 Elm Grove, WI 53122 (262) 780-9788 (262) 363-4425 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 53029 (262) 367-6488 2134 Alliance Counseling Center Initial ification: 8/6/99 County / State: Waukesha Gerald Flanagan Current: 8/1/04 300 Cottonwood Avenue, #4 Expires: 7/31/05 Mark Isaacs Hartland, WI 53029 (262) 896-0905 (262) 781-3672 2240 Aro Counseling Centers, Inc. Karen Young 141 A. Cottonwood Avenue Hartland, WI 53029 (262) 369-9569 Initial ification: 7/26/00 Current: 8/1/03 County / State: Waukesha Expires: 7/31/05 Mark Isaacs CSAS-Day Treatment HFS 75.12 1031 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 530511826 (262) 255-4178 1055 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 53051 (262) 255-5571 CSAS-Day Treatment HFS 75.12

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 53051 (262) 251-1005 (262) 250-7003 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 53051 (262) 255-1575 (262) 250-1579 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 53051 (262) 250-5140 Medical Associates Health Centers N14 W23900 Stonebridge Drive Waukesha WI 53188 Medical Associates Health Centers 110 Lone Oak Lane Hartford WI 53027 1207 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 53051 (262) 251-1112 2076 Community Memorial Hospital Julie Czerwinski W180 N8085 Town Hall Road Menomonie Falls, WI 530510408 (262) 251-1005 (262) 250-7003 Initial ification: 10/1/82 Current: 9/1/02 County / State: Waukesha Expires: 8/31/04 Mark Isaacs Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06 1788 Relationship Communication Center Elaine Kubicki 1025 S. Moorland Road, #403 Milwaukee, WI 53005 (262) 786-0411 (262) 786-9954 Initial ification: 5/15/95 Current: 6/1/04 County / State: Waukesha Expires: 5/31/06 Mark Isaacs

Page 185 of 203 1673 ified Provider Address, Contact, Phone Norris Adolescent Center Don Harris W247 S10395 Center Drive Mukwonago, WI 53149 (262) 662-3336 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 1 40.11(2)(a) 2185 Waukesha Health System Behavioral Medicine Center Outpatient-Mukwonago Frederick Syrjanen 400 Bayview Road Mukwonago, WI 53149 (262) 928-2396 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 53149 (262) 363-7449 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 53150 (262) 928-2396 Initial ification: 12/1/99 Current: 12/1/03 County / State: Waukesha Expires: 11/30/05 Mark Isaacs 1126 Care & Counsel John Rader 13700 W. National Avenue New Berlin, WI 53151 (262) 797-7979 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 14555 W. National Avenue, #180 New Berlin, WI 53151 (262) 821-6060 (262) 821-6077 Initial ification: 7/1/85 Current: 10/1/03 Expires: 9/30/05 County / State: Waukesha Mark Isaacs

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: 2/1/04 14555 W. National Avenue, #193 Expires: 1/31/06 Mark Isaacs New Berlin, WI 53151 (262) 796-8426 2342 Waukesha Health System Behavioral Medicine Center Outpatient-New Berlin Frederick Sryjanen 13900 W. National Avenue New Berlin, WI 53151 (262) 928-2396 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: 6/1/04 101 E. Sadd Street Expires: 5/31/06 Mark Isaacs North Prairie, WI 53153 (262) 392-5558 1313 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 53066 (262) 567-4560 (262) 567-4870 1341 Family Service of Waukesha Cameron Johnston 119 A S. Silver Lake Street Oconomowoc, WI 53066 (262) 547-5567 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 34700 Valley Road Oconomowoc, WI 53066 (262) 767-4411 Initial ification: 5/15/97 Current: 6/1/04 County / State: Waukesha Expires: 5/31/06 Mark Isaacs

Page 187 of 203 1810 ified Provider Address, Contact, Phone Rogers Memorial Hospital David Moulthrop 34700 Valley Road Oconomowoc, WI 53066 (262) 646-4411 (262) 646-3158 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 3 40.11(2)(c) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 1841 South Street Clinic Anne Weston 416 South Street Oconomowoc, WI 53066 (414) 567-7673 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 53066 (262) 567-5180 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 53066 (262) 567-3232 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 34700 Valley Road Oconomowoc, WI 53066 (414) 646-4411 Initial ification: 6/1/98 Current: 6/1/03 Expires: 5/31/05 County / State: Waukesha Mark Isaacs CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14

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: 1/1/04 1185 Corporate Center Drive Expires: 12/31/05 Mark Isaacs Oconomowoc, WI 53066 1768 Quad/Med, LLC, Substance Abuse Counseling Services Bill Arnold W224 N3322 Duplainville Road Pewaukee, WI 53072 (262) 566-6400 Quad/Graphics 952 Badger Road Lomira WI 53048 Quad/Graphics 555 S. 108th Street Milwaukee WI 53214 Quad/Graphics N63 W23075 Hwy 74 Sussex WI 53089 Quad/Med 1900 W. Summer Street Hartford WI 53027 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: 4/1/04 436 Oakton Avenue Expires: 3/31/06 Mark Isaacs Pewaukee, WI 53072 (262) 691-2581 1001 A Healing Center/Efficiency Management Consulting, S.C. Initial ification: 9/1/87 County / State: Waukesha JoAnn Cooper Current: 1/1/04 20860 Watertown Road Expires: 12/31/05 Mark Isaacs Waukesha, WI 531861872 (262) 821-6117 (262) 821-6119 1037 Amy Schley, Ph.D., S.C. Initial ification: 9/1/92 County / State: Waukesha Amy Schley Current: 9/1/02 204 Wisconsin Avenue Expires: 8/31/04 Mark Isaacs Waukesha, WI 53186 (262) 542-6694

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: 8/1/02 400 W. Moreland Boulevard Expires: 7/31/04 Mark Isaacs Waukesha, WI 53188 (262) 524-9416 CSAS-Day Treatment HFS 75.12 1113 Brookdale Clinic, S.C. Initial ification: 4/1/92 County / State: Waukesha Ilana Hadar Current: 4/1/03 20700 Watertown Road, #206 Expires: 3/31/05 Mark Isaacs Waukesha, WI 53186 (262) 717-0077 (262) 717-0088 1134 Catholic Charities - Waukesha Initial ification: 6/1/81 County / State: Waukesha Pat Gilmore Current: 5/1/03 741 N. Grand Avenue, #210 Expires: 4/30/05 Mark Isaacs Waukesha, WI 53186 (262) 547-2463 Catholic Charities - Waukesha 1755 Calhoun Road Brookfield WI 53005 Catholic Charities - Waukesha N88 W17658 Christman Road Menomonie Falls WI 53051 Catholic Charities - Waukesha 13700 W. National Avenue New Berlin WI 53151 1184 Children's Service Society of Wisconsin Lisa Monsivais 223 Wisconsin Avenue, #D Waukesha, WI 53186 (262) 544-5393 (262) 544-5393 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: 12/1/03 414 W. Moreland Boulevard Expires: 11/30/05 Mark Isaacs Waukesha, WI 53188 (262) 549-5567 Family Service of Waukesha N88 W16848 Main Street Menomonie Falls WI 53051 Family Service of Waukesha 1570 Moreland Boulevard Waukesha WI 53186

Page 190 of 203 ified Provider Address, Contact, Phone 1382 Genesis Halfway House Initial ification: 7/1/94 County / State: Waukesha Kim Conrad Current: 7/1/04 1002 Motor Avenue Expires: 6/30/06 Mark Isaacs Waukesha, WI 531884955 (262) 544-0711 CSAS-Transitional Residential HFS 75.14 1420 Lutheran Social Services House of Hope Initial ification: 7/1/94 County / State: Waukesha Lori Hughes Current: 1/1/03 325 Sentinel Drive Expires: 12/31/04 Mark Isaacs Waukesha, WI 53189 (262) 542-2663 (262) 542-0732 CSAS-Transitional Residential HFS 75.14 1485 La Casa de Esperanza, Inc. Initial ification: 4/1/93 County / State: Waukesha Mary Geraghty Current: 4/1/04 210 NW Barstow Expires: 3/31/06 Mark Isaacs Waukesha, WI 53188 (262) 547-4680 (262) 928-7340 1544 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 53186 (262) 896-3440 Lutheran Social Services-Waukesha 720 W. Rochester Mukwonago WI 53149 Lutheran Social Services-Waukesha 204 N. 10th Street Watertown WI 53904 1556 Manos, Smith and Associates Initial ification: 9/1/90 County / State: Waukesha Roland Manos Current: 9/1/03 407 Pilot Court, #400 Expires: 8/31/05 Mark Isaacs Waukesha, WI 53188 (262) 524-9822 1665 New Life Resources, Inc. Initial ification: 6/1/88 County / State: Waukesha Daniel Green Current: 6/1/02 20700 Watertown Road, #102 Expires: 5/31/04 Mark Isaacs Waukesha, WI 53186 (414) 782-1474

Page 191 of 203 1748 ified Provider Address, Contact, Phone Professional Recovery Network/Quality Addiction Management Margaret Underhill 2422 N. Grandview Boulevard Waukesha, WI 53188 (262) 259-5000 Initial ification: 4/1/94 Current: 8/1/03 Expires: 7/31/05 County / State: Waukesha Mark Isaacs CSAS-Narcotic Treatment HFS 75.15 1887 Stress Management & Mental Health Clinics, Inc. Paul Glass 2717 N. Grandview Blvd., #303 Waukesha, WI 53188 (262) 544-6486 (262) 544-6377 Stress Management & Mental Health Clinics, Inc. W307 S4759 Highway 83 Genesee Depot WI 53127 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 53188 (262) 521-0709 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 53188 (262) 548-7666 Waukesha County Mental Health Center 1501 Airport Road Waukesha WI 53188 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 3 1971 Waukesha County Mental Health Center Michele Cusatis 1501 Airport Road Waukesha, WI 53188 (262) 548-7950 (262) 896-8046 Initial ification: 4/1/87 Current: 4/1/04 Expires: 3/31/06 County / State: Waukesha Mark Isaacs Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06

Page 192 of 203 1972 ified Provider Address, Contact, Phone Waukesha County Health and Human Services-Community Support Program M. Susan Walker 1501 Airport Road Waukesha, WI 53188 (262) 548-7950 Initial ification: 10/1/90 Current: 10/1/03 Expires: 9/30/05 County / State: Waukesha Mental Health-Community Support Program Mark Isaacs HFS 63 1973 Waukesha Counseling Services Lauri Flick-Harty 2314 N. Grandview Blvd., #309 Waukesha, WI 53188 (262) 544-4540 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 531885071 (262) 928-2396 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 53189 (262) 544-2382 Initial ification: 1/1/86 Current: 1/1/04 Expires: 12/31/05 County / State: Waukesha Mark Isaacs CSAS-Medically Monitored HFS 75.07 Residential Detox CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12

Page 193 of 203 1976 ified Provider Address, Contact, Phone Waukesha Memorial Hospital Frederick Syrjanen 725 American Avenue Waukesha, WI 53188 (262) 544-2382 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 3 40.11(2)(c) Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Day Treatment HFS 75.12 2017 Women & Families Psychotherapy Resources Romona Powers 626 W. Moreland Boulevard Waukesha, WI 53188 (262) 542-0123 (262) 542-1199 Initial ification: 7/1/79 Current: 4/1/03 Expires: 3/31/05 County / State: Waukesha Mark Isaacs 2046 2048 Lees Psychological Services, Inc. Laura Lees 20720 W. Watertown Road, #203 Waukesha, WI 53186 (262) 798-6878 (262) 798-6879 Lees Psychological Services, Inc. W62 N225 Washington Avenue Cedarburg WI 53012 Cornerstone Counseling Services, Inc. Scott Allen 741 N. Grand Avenue, Suite 302 Waukesha, WI 531864820 (262) 542-3255 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 53186 (262) 524-7921 Initial ification: 7/26/00 Current: 7/1/03 County / State: Waukesha Expires: 6/30/05 Mark Isaacs CSAS-Prevention HFS 75.04 CSAS-Emergency Outpatient HFS 75.05

Page 194 of 203 ified Provider Address, Contact, Phone 2301 Creative Clinical Services, LLC Susan Huycke 2430 N. Grandview Boulevard, #A Waukesha, WI 53188 (262) 513-1933 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 53188 (262) 513-0700 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 53186 (414) 454-6506 (414) 454-6536 2477 Century House Initial ification: 9/17/03 County / State: Waukesha Larry Butler Current: 9/17/03 1130 Northview Road Expires: 9/30/04 Mark Isaacs Waukesha, WI 53188 (262) 544-6233 (262) 544-9360 CSAS-Transitional Residential HFS 75.14 1578 Medical and Counseling Associates Initial ification: 1/1/86 County / State: Waupaca James Wiedenhoeft Current: 2/1/04 315 Burton Road Expires: 1/31/06 Frank Bellaire New London, WI 54961 (920) 982-3660 Medical and Counseling Associates 300 N. Woods Edge Drive Appleton WI 54914 1666 New London Family Medical Center Initial ification: 4/1/78 County / State: Waupaca Karen Laur Current: 8/1/02 1405 Mill Street Expires: 7/31/03 Frank Bellaire New London, WI 54961 (920) 982-3038 CSAS-Medically Managed Inpatient Detox HFS 75.06

Page 195 of 203 1219 ified Provider Address, Contact, Phone Ministry Behavioral Health Joanne Griffin 190 Grand Seasons Drive Waupaca, WI 54981 (715) 258-8459 Initial ification: 3/1/88 Current: 7/1/03 Expires: 6/30/04 County / State: Waupaca Steven Ojibway CSAS-Day Treatment HFS 75.12 1894 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 54981 (715) 256-9680 (715) 256-9682 1977 Waupaca County Department of Health and Human Services Dennis Dornfeld 811 Harding Street Waupaca, WI 54981 (715) 258-6300 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 54961 County / State: Waupaca Frank Bellaire Mental Health-Emergency HFS 34.3 Service 3 CSAS-Emergency Outpatient HFS 75.05 2123 Waupaca County Department of Health & Human Services CSP Dennis Dornfeld 811 Harding Street Waupaca, WI 54981 (715) 258-6300 Initial ification: 12/1/81 Current: 7/1/04 Expires: 6/30/05 County / State: Waupaca Mental Health-Community Support Program Frank Bellaire HFS 63 2151 ThedaCare Behavioral Health Patricia Marzullo 902 Riverside Drive, #204 Waupaca, WI 54981 (715) 256-1475 (920) 720-3719 ThedaCare Behavioral Health 1405 Mill Street New London WI 54961 Initial ification: 7/30/99 Current: 3/1/04 County / State: Waupaca Expires: 2/28/06 Frank Bellaire

Page 196 of 203 1979 ified Provider Address, Contact, Phone Waushara County Department of Human Services CSP Lucey Rowley 230 W. Park Street Wautoma, WI 54982 (920) 787-3303 (920) 787-0421 Initial ification: 8/1/97 Current: 11/1/03 Expires: 10/31/04 County / State: Waushara Mental Health-Community Support Program Frank Bellaire HFS 63 1980 Waushara County Department of Human Services Lucey Rowley 230 W. Park Street Wautoma, WI 54982 (920) 787-3303 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 75.04 CSAS-Emergency Outpatient HFS 75.05 2512 All-Area Counseling Services, Inc. Jean Lemanski 719 W. Main Street Wautoma, WI 549828503 (920) 787-7472 (920) 490-4516 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 54915 (920) 738-9999 (920) 738-9901 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 54911 (920) 734-2601 Catholic Charities Diocese of Green Bay, Inc. 223 S. Division Street Waupaca WI 54981 Catholic Charities Diocese of Green Bay, Inc. 474 S. Cambridge Street Wautoma WI 54982 Initial ification: 1/26/88 Current: 2/1/03 Expires: 1/31/05 County / State: Winnebago Frank Bellaire

Page 197 of 203 ified Provider Address, Contact, Phone 1182 Children's Service Society of Wisconsin Kathleen Mueske 1800 Appleton Road Menasha, WI 54952 (920) 968-0845 (992) 968-0848 Children's Service Society of Wisconsin 36 Broad Street Oshkosh WI 54901 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: 12/1/03 1810 Appleton Road Expires: 11/30/04 Frank Bellaire Menasha, WI 54952 (920) 739-4226 1830 Reach Counseling Services Marie Nesemann 1244 C Midway Road Menasha, WI 54952 (920) 722-8150 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: 7/1/04 1201 W. Tuckaway Lane Expires: 6/30/06 Frank Bellaire Menasha, WI 54952 (920) 733-4443 CSAS-Narcotic Treatment HFS 75.15 1354 Fox Valley Counseling, Inc. Initial ification: 8/4/92 County / State: Winnebago Dennis Hawk Current: 8/1/03 307 S. Commercial Street Expires: 7/31/05 Frank Bellaire Neenah, WI 54956 (920) 722-1570

Page 198 of 203 1946 ified Provider Address, Contact, Phone Thedacare Behavioral Health at Theda Clark Medical Center Vicky Wenzel 130 Second Street Neenah, WI 54956 (920) 729-3003 Initial ification: 3/1/83 Current: 2/1/03 Expires: 1/31/05 County / State: Winnebago Frank Bellaire Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Day Treatment HFS 75.12 2006 Winnebago County Department of Human Services Keith Laux 211 N. Commercial Street Neenah, WI 54956 (920) 729-4817 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 54956 (920) 729-4817 Initial ification: 11/1/00 Current: 11/1/02 Expires: 10/31/04 County / State: Winnebago Mental Health-Community Support Program Frank Bellaire HFS 63 1142 Catholic Charities Diocese of Green Bay, Inc. Karen Johnston 36 Broad Street, #200 Oshkosh, WI 54901 (920) 235-6002 Catholic Social Services of The Diocese of Green Bay 364 S. Cambridge Wautoma WI 54982 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 54904 (920) 426-4356 Initial ification: 3/31/93 Current: 4/1/03 County / State: Winnebago Expires: 3/31/05 Frank Bellaire

Page 199 of 203 1295 ified Provider Address, Contact, Phone Educare Learning Center Robert Schedgick 1950 Venture Drive Oshkosh, WI 54902 (920) 233-6500 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 54901 (920) 233-4557 (920) 233-5644 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 54904 (920) 223-3410 Initial ification: 2/1/82 Current: 9/1/04 Expires: 8/31/06 County / State: Winnebago Frank Bellaire Mental Health-Day Treatment HFS 61.75 Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Detox HFS 75.06 1613 Mercy Counseling Services Ric Compton 515 S. Washburn Street, #104 Oshkosh, WI 54904 (920) 236-8570 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 54901 (920) 233-5212 Initial ification: 1/27/92 Current: 1/1/01 County / State: Winnebago Expires: 12/31/01 Frank Bellaire CSAS-Transitional Residential HFS 75.14 1710 Nova Counseling Services, Inc Marcia Larson 111 Josslyn Street Oshkosh, WI 54902 (920) 231-0143 (608) 231-4246 Initial ification: 11/1/85 Current: 5/1/04 County / State: Winnebago Expires: 4/30/06 Frank Bellaire CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Transitional Residential HFS 75.14

Page 200 of 203 1723 ified Provider Address, Contact, Phone Oshkosh Counseling Center, Inc. Rachelle Laux 501 Merritt Avenue Oshkosh, WI 549015139 (920) 231-2858 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 54901 (920) 426-1460 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 54904 (920) 233-3838 Initial ification: 1/10/94 Current: 1/1/04 County / State: Winnebago Expires: 12/31/05 Frank Bellaire CSAS-Day Treatment HFS 75.12 2007 Winnebago County Department of Human Services Mark Quam 220 Washington Avenue Oshkosh, WI 54903 (920) 236-4812 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 75.04 CSAS-Emergency Outpatient HFS 75.05 2266 Winnebago County Department of Human Services CSP Keith Laux 220 Washington Avenue Oshkosh, WI 54903 (920) 236-4812 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

Page 201 of 203 2008 ified Provider Address, Contact, Phone Winnebago Mental Health Institute Joann O'Connor Treffert Drive and Butler Avenue Winnebago, WI 54985 (920) 235-4910 Initial ification: 10/1/75 Current: 11/1/03 Expires: 10/31/05 County / State: Winnebago Mental Health-Adolescent HFS 61.79 Inpatient Mental Health-Inpatient HFS 61.71 CSAS-Medically Managed Inpatient Treatment CSAS-Medically Monitored Treatment Frank Bellaire HFS 75.10 HFS 75.11 1194 Children's Service Society of Wisconsin Rhonda Ackerman 503 South Cherry, #2 Marshfield, WI 54449 (715) 387-2729 Initial ification: 7/1/96 Current: 7/1/03 Expires: 6/30/05 County / State: Wood Steven Ojibway 1566 1568 Marshfield Clinic Department of Psychiatry and Behavioral Health Suanne Reed 1000 N. Oak Avenue Marshfield, WI 544495777 (715) 387-5442 (715) 387-9025 Marshfield Clinic - Mosinee Center 501 Orbiting Drive Mosinee WI 54455 St. Joseph's Hospital Alcohol and Drug Recovery Services Sheila Weix 611 St. Joseph's Avenue Marshfield, WI 54449 (715) 387-9700 Initial ification: 12/1/82 Current: 12/1/03 County / State: Wood Expires: 11/30/05 Steven Ojibway Mental Health-Day Treatment HFS 61.75 Initial ification: 12/2/94 Current: 12/1/01 County / State: Wood Expires: 11/30/03 Steven Ojibway CSAS-Medically Managed HFS 75.06 Inpatient Detox CSAS-Medically Managed HFS 75.10 Inpatient Treatment CSAS-Medically Monitored HFS 75.11 Treatment CSAS-Day Treatment HFS 75.12 1709 Norwood Health Center Administrator 1600 N. Chestnut Avenue Marshfield, WI 544491499 (715) 384-2188 Initial ification: 4/1/80 Current: 2/1/03 Expires: 1/31/05 County / State: Wood Steven Ojibway Mental Health-Inpatient HFS 61.71 CSAS-Medically Monitored Residential Detox HFS 75.07

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: 1/1/03 611 St. Joseph's Avenue Expires: 12/31/04 Steven Ojibway Marshfield, WI 54449 (715) 387-7079 (715) 387-7447 Mental Health-Inpatient HFS 61.71 1877 St. Vincent de Paul Counseling Center Walter Kolonick 149 North Central Marshfield, WI 54449 (715) 387-0395 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 54457 (715) 886-5444 (715) 886-4330 1217 Ministry Behavioral Health Initial ification: 5/1/91 Joanne Griffin Current: 7/1/03 209 Prentice Street North Expires: 6/30/05 Stevens Point, WI 54481 (715) 344-4611 (715) 344-8127 Ministry Behavioral Health Riverview West Medical Building 400 Dewey St., 2nd Flr. Wisconsin Rapids WI 54494 County / State: Wood Steven Ojibway CSAS-Prevention HFS 75.04 CSAS-Day Treatment HFS 75.12 1192 Children's Service Society of Wisconsin Initial ification: 7/1/96 County / State: Wood Dan Horgan Current: 7/1/03 1905 Washington Street Expires: 6/30/05 Steven Ojibway Wisconsin Rapids, WI 54494 (715) 421-0480 1208 Clinical Services Michael Nelson 420-1st Avenue South Wisconsin Rapids, WI 54495 (715) 424-3400 (715) 424-3441 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: 4/1/04 3930-8th Street South, #204 Expires: 3/31/06 Steven Ojibway Wisconsin Rapids, WI 54494 (715) 423-6000

Page 203 of 203 1802 ified Provider Address, Contact, Phone Riverview Hospital Association Celeste Neuman Zurfluh 410 Dewey Street Wisconsin Rapids, WI 54494 (715) 421-7439 Initial ification: 7/1/86 Current: 7/1/02 Expires: 6/30/04 County / State: Wood CSAS-Medically Managed Inpatient Detox Steven Ojibway HFS 75.06 2019 Wood County Unified Services David Bast 2611-12th Street South Wisconsin Rapids, WI 54494 (715) 421-8800 (715) 421-2266 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 75.05 CSAS-Day Treatment HFS 75.12 2291 Northwest Counseling and Guidance Clinic Wisconsin Rapids Day Treatment Victor Michalek 1140 N. Second Street, N. Wisconsin Rapids, WI 54495 (715) 424-5040 (715) 387-4470 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 2811-8th Street South, #8 Wisconsin Rapids, WI 54494 (715) 424-6960 River Cities High School 680 W. Grand Avenue Wisconsin Rapids WI 54495 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 54494 (715) 423-2030 (715) 423-2032 Initial ification: 3/1/02 Current: 3/1/03 Expires: 2/28/05 County / State: Wood Steven Ojibway