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Crisis Intervention And Recovery Center

Counselor, Mental Health in Canton, OH. Organization (NPI-2).

NPI number1760634810
StatusActive
Last updated in NPPESOct 21, 2008

Details

NPI
1760634810
Entity type
Organization (NPI-2)
Legal business name
Crisis Intervention And Recovery Center
Organization subpart
No
Enumeration date
Oct 21, 2008
Last updated
Oct 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthI0800333OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)061039OH

Practice location

832 McKinley Ave Nw
Canton, OH 44703-2463

Phone 330-455-9407 · Fax 330-430-1288

Mailing address

832 McKinley Ave Nw
Canton, OH 44703-2463

Phone 330-455-9407 · Fax 330-430-1288

Authorized official

Bernard S Jesiolowski
Executive Director
3304529812

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