Good Works Life Recovery House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

267017 Issued in PA

Legal business name

GOOD WORKS LIFE RECOVERY HOUSE

Practice address

102 Old Wynn Rd
Uniontown, PA 15401-6388

Phone

(724) 880-6030

Fax

(724) 564-0253

NPI assigned

Sep 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carol Jean Ifraiwan, B.S.

Title

Program Director

Phone

(724) 880-6030

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1174959019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 OLD WYNN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154016388",
            "telephone_number": "724-880-6030",
            "fax_number": "724-564-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OLD WYNN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154016388",
            "telephone_number": "724-880-6030",
            "fax_number": "724-564-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD WORKS LIFE RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "IFRAIWAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "724-880-6030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "267017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gma-Uniontown Inc
• Roger A Goebel, MD
• Penelope Goldbach, LSW
• Jodilyn Golnik, LPC
• Mallory Gonzalez
• Goodwill Industries of Fayette County
• Bailey Gordon
• Katherine Eileen Gosney, B.A.
• Gouker Chiropractic Clinic, P.C.
• Ronald E Gouker, DC CSCS CCSP

• Substance Abuse Rehabilitation Facility in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Substance Abuse Rehabilitation Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.