| Crisis Intervention And Recovery Center | |
|
832 Mckinley Ave Nw Canton OH 44703-2463 | |
| (330) 455-9407 | |
| (330) 430-1288 |
| Full Name | Crisis Intervention And Recovery Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 832 Mckinley Ave Nw, Canton, Ohio |
| Authorized Official Name and Position | Bernard S Jesiolowski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3304529812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crisis Intervention And Recovery Center 832 Mckinley Ave Nw Canton OH 44703-2463 Ph: (330) 455-9407 | Crisis Intervention And Recovery Center 832 Mckinley Ave Nw Canton OH 44703-2463 Ph: (330) 455-9407 |
| NPI Number | 1760634810 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760634810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 061039 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | I0800333 (Ohio) | Primary |
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