| W Cottage | |
|
233 George Junior Road Grove City PA 16127 | |
| (724) 458-9330 | |
| Not Available |
| Full Name | W Cottage |
|---|---|
| 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 |
|---|---|
| W Cottage Po Box 1058 233 George Junior Road Grove City PA 16127-5058 Ph: (724) 458-9330 | W Cottage 233 George Junior Road Grove City PA 16127 Ph: (724) 458-9330 |
| NPI Number | 1831214634 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831214634 | NPI | - | NPPES |
| 0014522190048 | 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 |
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