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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