| Memorial | |
|
233 George Junior Road Grove City PA 16237 | |
| (724) 458-9330 | |
| Not Available |
| Full Name | Memorial |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 233 George Junior Road, Grove City, Pennsylvania |
| Authorized Official Name and Position | Richard L. Losasso (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7244589330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Po Box 1058 233 George Junior Road Grove City PA 16127-5058 Ph: (724) 458-9330 | Memorial 233 George Junior Road Grove City PA 16237 Ph: (724) 458-9330 |
| NPI Number | 1144345380 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144345380 | NPI | - | NPPES |
| 0014522190054 | Medicaid | PA | |
| 0014522190118 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
Outpatient Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 George Junior Road, Grove City, PA 16127 Phone: 724-458-9330 | |
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George Junior Republic In Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 George Junior Rd, Grove City, PA 16127 Phone: 724-458-9330 | |
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Denise Garver, Ma, Ncc, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 E Main Street Ext Ste 100, Grove City, PA 16127 Phone: 724-264-4011 |