Provider Demographics
NPI:1508445339
Name:A & R CLINICAL SERVICES CRISIS MANAGEMENT, LLC
Entity Type:Organization
Organization Name:A & R CLINICAL SERVICES CRISIS MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-596-6872
Mailing Address - Street 1:104 DUNCAN DR
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7128
Mailing Address - Country:US
Mailing Address - Phone:630-596-6872
Mailing Address - Fax:740-919-0123
Practice Address - Street 1:104 DUNCAN DR
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43062-7128
Practice Address - Country:US
Practice Address - Phone:630-596-6872
Practice Address - Fax:740-919-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health