Crisis Intervention And Recovery Center, Inc.

LBN: Crisis Intervention And Recovery Center, Inc.
Crisis Intervention And Recovery Center, Inc. is an health care organization with primary practice located at 832 Mckinley Ave Nw , Canton OH 44703-2463. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Crisis Intervention And Recovery Center, Inc. can be contacted via phone (330) 452-9812, or through Jesiolowski, Bernard via phone (330) 452-9812.

Contact Information

Primary practice address
832 Mckinley Ave Nw Canton OH 44703-2463
Fax: (330) 430-1288
Website:
Authorized official contact:
Name: Jesiolowski, Bernard PHD.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 0203 Ohio

Profile Details

NPI number 1033477906
LBN Legal business name Crisis Intervention And Recovery Center, Inc.
DBA Doing business as
Authorized official Jesiolowski, Bernard PHD.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2012
Last updated Apr 30th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033477906 NPPES
Ohio MEDICAID 2480864
Ohio MEDICAID 2863843
Ohio MEDICAID 0201098

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