Collaborations for Resiliency in Children, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COLLABORATIONS FOR RESILIENCY IN CHILDREN, INC

Practice address

2404 Refuge Rd
Jasper, GA 30143-4946

Phone

(706) 692-7209

Fax

(706) 692-0144

NPI assigned

Feb 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jacquelyn G Jacobs, M.ED; MA; LPC

Title

Ceo

Phone

(770) 401-3577

Specialties & licenses 1

Addresses

Tax ID family

Collaborations for Resiliency in Children Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Collaborations for Resiliency in Children, Inc

  • Mental Health Counselor
  • Jasper, GA
  • NPI 1881940260
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1104190073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 REFUGE RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434946",
            "telephone_number": "706-692-7209",
            "fax_number": "706-692-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 REFUGE RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434946",
            "telephone_number": "706-692-7209",
            "fax_number": "706-692-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIONS FOR RESILIENCY IN CHILDREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-401-3577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED; MA; LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Chishinga, MD
• Michael Lauren Christian
• Roy Chu, M.D.
• Melissa Clay
• Zachary Cloer
• Collaborations for Resiliency in Children, Inc
• Kevin Michael Collins, PT, DPT
• Complete Health Diagnostics, Inc.
• Comprehensive Health Care of North Georgia, P.C.
• Connect Hearing, Inc

• All providers in Jasper, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.