Organization
CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Active
Other names
Beacon Light Behavioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET V MANGOLD (CONTROLLER)
(814) 817-1400
Entity
Organization
Contact information
Practice address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 817-1400
(814) 817-1447
Mailing address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 817-1400
(814) 817-1447
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
400390
PA
323P00000X
Psychiatric Residential Treatment Facility
Primary
410760
PA
323P00000X
Psychiatric Residential Treatment Facility
452110
PA
323P00000X
Psychiatric Residential Treatment Facility
453250
PA
323P00000X
Psychiatric Residential Treatment Facility
457250
PA
323P00000X
Psychiatric Residential Treatment Facility
465100
PA
323P00000X
Psychiatric Residential Treatment Facility
469470
PA
323P00000X
Psychiatric Residential Treatment Facility
475980
PA
Other
Enumeration date
04/04/2007
Last updated
11/04/2020
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