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General NPI Number Information
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NPI Number | 1316099146
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Entity Type | Organization
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Legal Business Name | CHILD AND ADOLESCENT TREATMENT SERVICES INC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 430 NIAGARA STREET
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City | BUFFALO
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State | NY
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Zip | 14201
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Country | US
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Telephone | 716-853-1335
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Fax | 716-853-1598
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Provider Business Mailing Address
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Address Line | 301 CAYUGA ROAD SUITE 200
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-1950
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Country | US
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Telephone | 716-819-3420
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Fax | 716-819-3430
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. BONNIE L GLAZER
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Credential | LCSW ACSW
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Telephone | 716-819-3420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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