NPI | 1588714265 |
---|---|
Former Legal Business Name | THE GEORGE JUNIOR REPUBLIC |
Entity Type | Organization |
Authorized Contact | SCOTT ADAMS Business Manager 607-844-6210 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2007-01-12 |
Last Update Date | 2022-07-21 |