# THE BRADLEY CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619011269
- **Authorized official:** MS. LISA RENE FOX (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (412) 788-8219

## Contact information

- **Practice address:** 5180 CAMPBELLS RUN RD, PITTSBURGH, PA 15205-9731
- **Practice address phone:** (412) 788-8219
- **Practice address fax:** (412) 809-8200
- **Mailing address:** 5180 CAMPBELLS RUN ROAD, PITTSBURGH, PA 15205-9731
- **Mailing address phone:** (412) 788-8219
- **Mailing address fax:** (412) 788-8215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 401010 | PA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 05/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100728156 | — | PA |