Provider Demographics
NPI:1639593247
Name:CRISIS CENTER INC.
Entity Type:Organization
Organization Name:CRISIS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-938-2727
Mailing Address - Street 1:101 N MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46403-3921
Mailing Address - Country:US
Mailing Address - Phone:219-938-2727
Mailing Address - Fax:219-938-7502
Practice Address - Street 1:101 N MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46403-3921
Practice Address - Country:US
Practice Address - Phone:219-938-2727
Practice Address - Fax:219-938-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN158404933 30246322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children