Organization
FAYETTE RESOURCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN SUSANO MORRIS (CHIEF EXECUTIVE OFFICER / PRESIDENT)
(724) 437-6461
Entity
Organization
Contact information
Practice address
1 MILLENNIUM DRIVE SUITE 2, UNIONTOWN, PA 15401
(724) 437-6461
Mailing address
1 MILLENNIUM DRIVE SUITE 2, UNIONTOWN, PA 15401
(724) 437-6461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
447270
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
447270
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740492743
—
PA
Enumeration date
06/03/2016
Last updated
08/02/2016
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