George Junior Republic in Pennsylvania

NPI #1326163569 in Vandergrift, Pennsylvania

Provider Information

NPI Number
1326163569
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
1114 WALKER LN
ZIP Code
15690-8121
Phone
(724) 567-5562

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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