Whalio Doctors

NPI 1508140898

George Junior Republic in Indiana

Organisation Foster Care Agency Gas City, IN

Practice location

Address
3925 S. Garthwaite Rd, Gas City, IN 46933
Phone
(812) 722-3137
Fax
(812) 372-9299

Authorised official

Name
Alisa R Cox
Title
Clinical Supervisor
Phone
(812) 722-3137

Registered specialties (5)

Foster Care Agency Primary
Agencies Taxonomy 253J00000X Licence 152783933 (IN)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X
Foster Care Agency
Agencies Taxonomy 253J00000X Licence 54490098 (IN)

Registry record

NPI
1508140898
Entity type
Organization
NPI issued
5 Oct 2011
Record last updated
10 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.