Organization
BRADFORD RECOVERY CENTER
Active
Organization
BRADFORD RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY K LEIB (CEO)
(570) 537-6035
Entity
Organization
Contact information
Practice address
64 SCHOOL ST, MILLERTON, PA 16936-7768
(570) 537-6035
(570) 537-6038
Mailing address
64 SCHOOL ST, MILLERTON, PA 16936-7768
(570) 537-6035
(570) 537-6038
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
597030
PA
Other
Enumeration date
03/23/2016
Last updated
01/28/2019
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