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Organization

CHILD AND ADOLESCENT TREATMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE GLAZER LCSWR, ACSW (EXECUTIVE DIRECTOR)
(716) 819-3420
Entity
Organization

Contact information

Practice address
301 CAYUGA RD, SUITE 200, CHEEKTOWAGA, NY 14225-1950
(716) 819-3420
Mailing address
301 CAYUGA RD, SUITE 200, CHEEKTOWAGA, NY 14225-1950
(716) 819-3420

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02202711
NY
Enumeration date
07/31/2008
Last updated
01/05/2018
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