George Junior Republic in PA
NPI #1740591163 in Grove City, Pennsylvania
Provider Information
- NPI Number
- 1740591163
- Entity Type
- Organization
- Organization Name
- George Junior Republic in PA
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jun 30, 2010
- Last Updated
- Jun 30, 2010
Practice Location
- Address
- 233 GEORGE JUNIOR RD
- City
- Grove City
- State
- Pennsylvania
- ZIP Code
- 16127-4417
- Phone
- (724) 458-9330
Authorized Official
- Name
- MR. RICHARD L. LOSASSO, MSW
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (724) 458-9330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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