Organization
THE BRADLEY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA RENE FOX (CHIEF EXECUTIVE OFFICER)
(412) 788-8219
Entity
Organization
Contact information
Practice address
5180 CAMPBELLS RUN RD, PITTSBURGH, PA 15205-9731
(412) 788-8219
(412) 809-8200
Mailing address
5180 CAMPBELLS RUN ROAD, PITTSBURGH, PA 15205-9731
(412) 788-8219
(412) 788-8215
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
401010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728156
—
PA
Enumeration date
02/16/2007
Last updated
05/04/2011
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