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CRISIS INTERVENTION AND RECOVERY CENTER INC. NPI 1033477906


NPI Information

NPI: 1033477906
Provider Name: CRISIS INTERVENTION AND RECOVERY CENTER, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
832 MCKINLEY AVE NW
CANTON, OH
ZIP 44703
Phone: (330) 452-9812
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CRISIS INTERVENTION AND RECOVERY CENTER, INC. is an adult mental health clinic center in Canton, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CRISIS INTERVENTION AND RECOVERY CENTER, INC. NPI is 1033477906. The provider is registered as an organization entity type.

The provider's business location address is:

832 MCKINLEY AVE NW
CANTON, OH
ZIP 44703-463
Phone: (330) 452-9812
Fax: (330) 430-1288

The provider's authorized official is Bernard Jesiolowski .
The authorized official title is Executive Director and has the following contact phone number (330) 452-9812.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health0203OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10201098MEDICAIDOHIO
22863843MEDICAIDOHIO
32480864MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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