Organization
GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA
Active
Other names
Outpatient Clinic
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
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
442300
PA
Other
Enumeration date
03/19/2007
Last updated
02/27/2023
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