Organization
GOODWILL INDUSTRIES OF FAYETTE COUNTY
Active
Organization
GOODWILL INDUSTRIES OF FAYETTE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MITCHELL (VICE PRESIDENT OF AFFILIATE OPERATI)
(724) 437-9878
Entity
Organization
Contact information
Practice address
690 W MAIN ST, UNIONTOWN, PA 15401-2648
(724) 439-9311
Mailing address
44 CONNELLSVILLE STREET, UNIONTOWN, PA 15401
(724) 437-9878
(724) 437-9865
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
416340
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472028
VALUEOPTIONS PROVIDER NUM
PA
Enumeration date
01/10/2007
Last updated
08/22/2020
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