Organization
CHILD AND ADOLESCENT TREATMENT SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE L GLAZER LCSW ACSW (EXECUTIVE DIRECTOR)
(716) 819-3420
Entity
Organization
Contact information
Practice address
11 WEST MAIN STREET, SUITE A, LANCASTER, NY 14086
(716) 681-6611
(716) 681-6613
Mailing address
301 CAYUGA ROAD, SUITE 200, CHEEKTOWAGA, NY 14225-1950
(716) 819-3420
(716) 819-3430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357855
—
NY
Enumeration date
01/18/2007
Last updated
01/05/2018
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