# GEORGE JUNIOR REPUBLIC IN PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831550409
- **Authorized official:** MR. RICHARD L. LOSASSO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (724) 458-9330

## Contact information

- **Practice address:** 233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
- **Practice address phone:** (724) 458-9330
- **Practice address fax:** (724) 458-0389
- **Mailing address:** 233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
- **Mailing address phone:** (724) 458-9330
- **Mailing address fax:** (724) 458-0389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 447420 | PA | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 03/10/2016