# THE WILLIAM GEORGE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The George Junior Republic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588714265
- **Authorized official:** MR. SCOTT ADAMS (BUSINESS MANAGER)
- **Authorized official phone:** (607) 844-6210

## Contact information

- **Practice address:** 380 FREEVILLE RD, FREEVILLE, NY 13068-9684
- **Practice address phone:** (607) 844-6210
- **Practice address fax:** (607) 844-4991
- **Mailing address:** 380 FREEVILLE RD, FREEVILLE, NY 13068-9684
- **Mailing address phone:** (607) 844-6210
- **Mailing address fax:** (607) 844-4991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NY | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00353562 | — | NY |
| 05 | — | 02077741 | — | NY |