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Organization
GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA
Active
Organization
GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA
Active
Other names
Special Needs 8, CCRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN M. GRESSEL MSW MBA (CHIEF EXECUTIVE OFFICER)
(724) 458-9330
Entity
Organization
Contact information
Practice address
233 GEORGE JUNIOR ROAD, GROVE CITY, PA 16127
(724) 458-9330
(724) 458-0389
Mailing address
PO BOX 1058, 233 GEORGE JUNIOR ROAD, GROVE CITY, PA 16127-5058
(724) 458-9330
(724) 458-0389
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014522190135
—
PA
Enumeration date
03/21/2007
Last updated
02/27/2023
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