| Geo Re-entry Services, Llc/ The Geo Group | |
|
499 Manor Dr Ebensburg PA 15931-4917 | |
| (814) 471-1801 | |
| (814) 472-4699 |
| Full Name | Geo Re-entry Services, Llc/ The Geo Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 499 Manor Dr, Ebensburg, Pennsylvania |
| Authorized Official Name and Position | Matthew Wirtner (AREA MANAGER) |
| Authorized Official Contact | 5702084858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geo Re-entry Services, Llc/ The Geo Group 125 N Wilkes Barre Blvd Suite 4 Wilkes Barre PA 18702-5354 Ph: (570) 208-4858 | Geo Re-entry Services, Llc/ The Geo Group 499 Manor Dr Ebensburg PA 15931-4917 Ph: (814) 471-1801 |
| NPI Number | 1972991339 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972991339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 117056 (Pennsylvania) | Primary |
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