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Organization
GEORGE JUNIOR REPUBLIC IN PA
Active
Organization
GEORGE JUNIOR REPUBLIC IN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L. LOSASSO (CHIEF EXECUTIVE OFFICER)
(724) 458-9330
Entity
Organization
Contact information
Practice address
233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
(724) 458-9330
(724) 458-0389
Mailing address
233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
(724) 458-9330
(724) 458-0389
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
447420
PA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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