Organization
CHILDRENS CENTER FOR TREATMENT AND EDUCATION
Active
Organization
CHILDRENS CENTER FOR TREATMENT AND EDUCATION
Active
Other names
Beacon Light Behavioral Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SEAGER (PRESIDENT/CEO)
(814) 368-3800
Entity
Organization
Contact information
Practice address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 362-5248
(814) 362-5263
Mailing address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 362-5250
(814) 362-2185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC004950
PA
103TC0700X
Clinical Psychologist
Primary
PS016644
PA
104100000X
Social Worker
SW126127
PA
1041C0700X
Clinical Social Worker
CW016316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001989164
HIGHMARK - NON MANAGED CARE
PA
01
—
001989165
HIGHMARK- MANAGED CARE
PA
05
—
1007710210049
—
PA
Enumeration date
11/15/2006
Last updated
07/22/2009
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