CRISIS INTERVENTION AND RECOVERY CENTER, INC.


Address: 832 Mckinley Ave Nw, Canton, OH 44703-2463
Phone: 3304529812

CRISIS INTERVENTION AND RECOVERY CENTER, INC. (NPI# 1033477906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033477906
Entity Type Organization
Organization Name CRISIS INTERVENTION AND RECOVERY CENTER, INC.
Practice Address 832 Mckinley Ave Nw
Canton
OH 44703-2463
Practice Telephone 3304529812
Practice Fax Number 3304301288
Enumeration Date 2012-04-30
Last Update Date 2012-04-30
Authorized Official Name MR. BERNARD JESIOLOWSKI (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3304529812
Authorized Official Credential PHD.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
0203 OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 0201098 05
OH 2863843 05
OH 2480864 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831162817 Crisis Intervention and Recovery Center, Inc. Voluntary or Charitable 832 Mckinley Ave Nw, Canton, OH 44703-2463 2006-02-09
1902075955 Crisis Intervention and Recovery Center, Inc. Voluntary or Charitable 832 Mckinley Ave Nw, Canton, OH 44703-2463 2008-02-25

Office Location

Street Address 832 MCKINLEY AVE NW
City CANTON
State OH
Zip Code 44703-2463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831162817 Crisis Intervention and Recovery Center, Inc. Voluntary or Charitable 832 Mckinley Ave Nw, Canton, OH 44703-2463 2006-02-09
1780170068 Lauren Bosler Case Manager/Care Coordinator 832 Mckinley Ave Nw, Canton, OH 44703-2463 2018-07-10
1598250243 Charles W Schott Case Manager/Care Coordinator 832 Mckinley Ave Nw, Canton, OH 44703 2018-06-26
1104319417 Rebecca Lewis Social Worker 832 Mckinley Ave Nw, Canton, OH 44703-2463 2018-06-11
1720577349 Rose M Odemba Social Worker 832 Mckinley Ave Nw, Canton, OH 44703-2463 2018-05-09
1437698495 Brenda Sue Weltlich Registered Nurse 832 Mckinley Ave Nw, Canton, OH 44703-2463 2017-02-22
1629435953 Twyla Nared Social Worker 832 Mckinley Ave Nw, Canton, OH 44703-2463 2016-01-17
1811361157 Autumn Lee Griffin Licensed Practical Nurse 832 Mckinley Ave Nw, Canton, OH 44703-2463 2015-11-24
1326411497 Shaunaugh Turner Social Worker 832 Mckinley Ave Nw, Canton, OH 44703-2463 2015-11-11
1487030540 Mary Downs Social Worker 832 Mckinley Ave Nw, Canton, OH 44703-2463 2015-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245870591 Adriane Everett Counselor 906 12 St Nw, Canton, OH 44703 2020-01-14
1154792497 Jasmine Brown Home Health Aide 926 Mcgregor Ave N W, Canton, OH 44703 2015-10-13
1538563366 Lauren Miller Psychologist 1503 Woodland Ave Nw, Canton, OH 44703 2014-10-22
1891863478 Judson Graham Sprandel II Chiropractor 1412 Cleveland Ave Nw, Canton, OH 44703 2006-12-01
1376616276 Charles S Yarnevich Podiatrist 1548 Fulton Rd Nw, Canton, OH 44703 2006-11-16
1538760624 Medtime Pharmacy LLC Pharmacy 400 12th St Nw, Address Line 2, Canton, OH 44703 2020-11-04
1629247960 Sprandel Chiropractic Clinic Inc Chiropractor 1412 Cleveland Ave Nw, Canton, OH 44703 2008-02-20
1063019024 Pamela Kay Pirolozzi Home Health Aide 1520 16th St Nw, Canton, OH 44703-1040 2020-10-02
1174960330 Janine Patrice Britt Licensed Practical Nurse 1636 17th St Nw, Canton, OH 44703-1048 2013-05-29
1861808560 Danielle Riggins Technician, Other 1511 17th St Nw, Apt3, Canton, OH 44703-1051 2014-07-02
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447860903 Recovery Works LLC Clinic/Center 2833 Cleveland Ave Nw, Canton, OH 44709-3203 2020-08-08
1104431410 A.v.o Behavioral Health LLC Clinic/Center 3745 Whipple Ave Nw, Canton, OH 44718-4805 2020-09-14
1992344584 Improved Insight Counseling Services Incorporated Clinic/Center 270 E Main St Ste M, Canton, GA 30114-2759 2019-12-30
1376982736 Domestic Violence Project, Inc Clinic/Center 720 19th St Ne, Canton, OH 44714-2213 2013-06-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679188536 Sea Glass Counseling and Consultation, LLC Clinic/Center 7757 Amberfalls Ct, Dublin, OH 43016-9041 2020-09-08
1598380453 Courage To Heal Counseling LLC Clinic/Center 304 S Court St Ste A, Circleville, OH 43113-1604 2020-06-16
1477178846 Small Behavioral Health Counseling Clinic/Center 1213 Coventry St, Akron, OH 44306-2229 2020-06-11
1265055693 Sola Caritas Clinic/Center 2967 W 38th St, Cleveland, OH 44113-4803 2020-05-20
1417570946 Flourish Counseling, LLC Clinic/Center 24757 Hawthorne Dr, Beachwood, OH 44122-2317 2020-05-19
1346869682 2020 Life Counseling LLC Clinic/Center 21724 Lorain Rd Ste 8, Fairview Park, OH 44126-3334 2020-04-15
1306407887 Freedom Counseling, Coaching, and Consulting, LLC Clinic/Center 2174 Kelley Ln, Newark, OH 43055-8057 2019-06-25
1255997599 Jana Bergfeld Lisw LLC Clinic/Center 1071 Fishinger Rd Ste 211, Columbus, OH 43221-2301 2019-05-13
1861056921 Mobile Physician Services Inc. Clinic/Center 4031 Colonel Glenn Hwy Ste 133, Beavercreek Township, OH 45431-2774 2019-04-24
1295217347 Luna Counseling, LLC Clinic/Center 30 Warder St Ste 165, Springfield, OH 45504-2500 2018-09-05
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Competitor

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City CANTON
Zip Code 44703

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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