George Junior Republic in Pennsylvania
NPI #1134244858 in Grove City, Pennsylvania
Provider Information
- NPI Number
- 1134244858
- Entity Type
- Organization
- Organization Name
- George Junior Republic in Pennsylvania
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 120 W MAIN ST
- City
- Grove City
- State
- Pennsylvania
- ZIP Code
- 16127-1222
- Phone
- (724) 458-5315
Authorized Official
- Name
- MR. RICHARD L. LOSASSO, MSW
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (724) 458-9330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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