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
100 ROBERT GABRIEL DRIVE, SUITE B, ULSTER, PA 18850-0000
(814) 817-1400
(814) 817-1447
Mailing address
800 EAST MAIN STREET, BRADFORD, PA 16701-3278
(814) 817-1400
(814) 817-1447
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
227240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007710210094
—
PA
Enumeration date
04/04/2007
Last updated
11/04/2020
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