| Crisis Intervention And Recovery Center, Inc. | |
|
832 Mckinley Ave Nw Canton OH 44703-2463 | |
| (330) 452-9812 | |
| (330) 430-1288 |
| Full Name | Crisis Intervention And Recovery Center, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 832 Mckinley Ave Nw, Canton, Ohio |
| Authorized Official Name and Position | Bernard 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, Inc. 832 Mckinley Ave Nw Canton OH 44703-2463 Ph: () - | Crisis Intervention And Recovery Center, Inc. 832 Mckinley Ave Nw Canton OH 44703-2463 Ph: (330) 452-9812 |
| NPI Number | 1033477906 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033477906 | NPI | - | NPPES |
| 2480864 | Medicaid | OH | |
| 2863843 | Medicaid | OH | |
| 0201098 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0203 (Ohio) | Primary |
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