GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA; NPI #1669597795

Contact Information

GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA

233 GEORGE JUNIOR ROAD
GROVE CITY, PA 16127

Phone: 724-458-9330
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA

NPI Number 1669597795

LBN Legal business name GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA

Authorized official NATHAN GRESSEL - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2007

Last updated 02/27/2023 - About 3 years ago

Identifiers

Medicaid

0014522190133

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA

Contact Information

Specialty

Rehabilitation, Substance Use Disorder

NPI Profile & details for GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA

Reviews for GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA