Organization
GOOD WORKS LIFE RECOVERY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL JEAN IFRAIWAN B.S. (PROGRAM DIRECTOR)
(724) 880-6030
Entity
Organization
Contact information
Practice address
102 OLD WYNN RD, UNIONTOWN, PA 15401-6388
(724) 880-6030
(724) 564-0253
Mailing address
102 OLD WYNN RD, UNIONTOWN, PA 15401-6388
(724) 880-6030
(724) 564-0253
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
267017
PA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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