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General NPI Number Information
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NPI Number | 1679617203
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Entity Type | Organization
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Legal Business Name | THE BRADLEY CENTER, INC.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2904 CASTLEGATE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15226-2013
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Country | US
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Telephone | 412-563-5702
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Fax | 412-563-5703
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Provider Business Mailing Address
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Address Line | 2904 CASTLEGATE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15226-2013
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Country | US
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Telephone | 412-563-5702
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Fax | 412-563-5703
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. GARRY OWEN MCGRATH
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Credential |
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Telephone | 412-563-5702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 418640
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License Number State | PA
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