| Outpatient Clinic | |
|
233 George Junior Road Grove City PA 16127 | |
| (724) 458-9330 | |
| Not Available |
| Full Name | Outpatient Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 233 George Junior Road, Grove City, Pennsylvania |
| Authorized Official Name and Position | Nathan M. Gressel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7244589330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Clinic Po Box 1058 233 George Junior Road Grove City PA 16127-5058 Ph: (724) 458-9330 | Outpatient Clinic 233 George Junior Road Grove City PA 16127 Ph: (724) 458-9330 |
| NPI Number | 1003930819 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003930819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 442300 (Pennsylvania) | Primary |
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