George Junior Republic in Pennsylvania

NPI #1407971641 in New Wilmington, Pennsylvania

Provider Information

NPI Number
1407971641
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
17 LEESBURG STATION RD
ZIP Code
16142-1901
Phone
(724) 946-8960

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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