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BRADFORD RECOVERY CENTER
NPI 1063874568
Substance Abuse Rehabilitation Facility in Millerton, PA

Active since March 23, 2016CLIA 39D2117076 · Waiver
64 SCHOOL ST, MILLERTON, PA 16936(570) 537-6035(570) 537-6038 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2019, Mar 23, 2016 (2 updates tracked since 2016).

About Bradford Recovery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADFORD RECOVERY CENTER (NPI 1063874568) is a healthcare organization registered as a substance abuse rehabilitation facility in Millerton, Pennsylvania and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Bradley K Leib, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063874568
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBRADFORD RECOVERY CENTER
Location Address64 SCHOOL STMillerton, PA 16936-7768
Mailing Address64 School StMillerton, PA 16936-7768 · (570) 537-6035 · Fax (570) 537-6038
Phone(570) 537-6035
Fax(570) 537-6038
Organization SubpartNo
Authorized OfficialBradley K LeibCeo · (570) 537-6035
Enumeration DateMarch 23, 2016
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1063874568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in PA · 597030
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

64 SCHOOL ST, Millerton, PA 16936
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2117076

Bradford Recovery Center · Millerton, PA
Active · expires Aug 8, 2026
CLIA Number39D2117076
Laboratory TypeDrug & Alcohol Trmt Fac
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDr. Phillip A. Helmbright
Laboratory Phone(717) 330-6558
Laboratory LocationBradford Recovery Center64 School Street, Millerton, PA 16936
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILLERTON ACQUISTION SUB, LLC
Substance Abuse Rehabilitation Facility
64 SCHOOL ST
MILLERTON, PA 16936
Tioga County (570) 537-6035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradford Recovery Center's NPI number?

The NPI number for Bradford Recovery Center is 1063874568. It was assigned to this organization in the NPPES registry on March 23, 2016.

Where is Bradford Recovery Center located?

Bradford Recovery Center is located at 64 School St, Millerton, PA 16936. The listed phone number is (570) 537-6035.

What is Bradford Recovery Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Bradford Recovery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2117076) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bradford Recovery Center was last updated on January 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.