Crisis Intervention and Recovery Center, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

0203 Issued in OH

Legal business name

CRISIS INTERVENTION AND RECOVERY CENTER, INC.

Practice address

832 McKinley Ave NW
Canton, OH 44703-2463

Phone

(330) 452-9812

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Jesiolowski, PHD

Title

Executive Director

Phone

(330) 452-9812

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Crisis Intervention and Recovery Center 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.

• Crisis Intervention and Recovery Center, Inc.

  • Adult Mental Health Clinic/Center
  • Canton, OH
  • NPI 1033477906
  NPD tax ID

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1902075955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-452-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-452-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS INTERVENTION AND RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "JESIOLOWSKI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-452-9812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "0203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480864",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Lee Crews, DO
• Courtney Raschell Crews
• Crisis Intervention and Recovery Center
• Crisis Intervention and Recovery Center, Inc.
• Crisis Intervention and Recovery Center, Inc.
• Kylee N Crislip, LPCC-S
• Phillip Crislip
• Christina Cristino, PA-C
• Cheryl Crites
• Megan Elizabeth Crites

• Voluntary or Charitable Agency in Canton, OH
• Providers in Canton, OH by specialty
• Voluntary or Charitable Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.