Organization
CRISIS INTERVENTION AND RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD JESIOLOWSKI PHD (EXECUTIVE DIRECTOR)
(330) 452-9812
Entity
Organization
Contact information
Practice address
832 MCKINLEY AVE NW, CANTON, OH 44703-2463
(330) 452-9812
Mailing address
832 MCKINLEY AVE NW, CANTON, OH 44703-2463
(330) 452-9812
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
0203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2480864
—
OH
05
—
430700
—
OH
Enumeration date
02/25/2008
Last updated
02/25/2008
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