Organization
GEORGE JUNIOR REPUBLIC IN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN M GRESSEL MSW MBA (CHIEF EXECUTIVE OFFICER)
(724) 458-9330
Entity
Organization
Contact information
Practice address
233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
(724) 458-9330
Mailing address
233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
(724) 458-9330
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014522190132
—
PA
05
—
452620
—
PA
Enumeration date
01/04/2021
Last updated
02/27/2023
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