Organization
CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Active
Parent organization
CHILDREN'S HOME OF BRADFORD
Other names
Beacon Light Behavioral Health Systems, Beacon Light Behavioral Health System
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOME OF BRADFORD
Authorized official
MRS. SUSAN R TECONCHUK (CONTRACT MANAGER)
(814) 817-1400
Entity
Organization
Contact information
Practice address
1885 MARKET ST, WARREN, PA 16365-1227
(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
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007710210057
—
PA
05
—
1007710210071
—
PA
05
—
1007710210075
—
PA
05
—
1007710210076
—
PA
05
—
1007710210079
—
PA
05
—
1007710210081
—
PA
05
—
1007710210083
—
PA
05
—
1007710210084
—
PA
05
—
1007710210087
—
PA
05
—
1007710210088
—
PA
05
—
1007710210092
—
PA
05
—
1007710210108
—
PA
05
—
1007710210114
—
PA
Enumeration date
05/22/2008
Last updated
12/04/2020
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