George Junior Republic In Indiana

LBN: George Junior Republic In Indiana
George Junior Republic In Indiana is an health care organization with primary practice located at 3925 S. Garthwaite Rd , Gas City IN 46933. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Foster Care Agency. Agencies / Foster Care Agency is the primary health care specialty. George Junior Republic In Indiana can be contacted via phone (812) 722-3137, or through Cox, Alisa R via phone (812) 722-3137.

Contact Information

Primary practice address
3925 S. Garthwaite Rd Gas City IN 46933
Phone: (812) 722-3137
Fax: (812) 372-9299
Website:
Map and Directions
Authorized official contact:
Name: Cox, Alisa R Licensed Clinical Social Worker (LCSW)
Phone: (812) 722-3137

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Foster Care Agency 253J00000X 152783933 Indiana
Agencies / Foster Care Agency 253J00000X 54490098 Indiana

Profile Details

NPI number 1508140898
LBN Legal business name George Junior Republic In Indiana
DBA Doing business as
Authorized official Cox, Alisa R Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2011
Last updated Apr 10th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers