Doctor Name: | MR. CHARLES J. CAVARETTA |
NPI Number: | 1053545939 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CPRP |
License Number: | |
Business Practice Address: | 254 Franklin St Franklin Recovery Pros Buffalo, NY - 142021932 |
Business Phone Number: | 7168521117 |
Business Fax Number: | 7168521110 |
Mailing Address: | 254 Franklin St, Lake Shore Behavioral Health, Inc; BUFFALO |
State: | NY |
Postal Code: | 142021932 |
Phone Number: | 7168420440 |
Fax Number: | 7168424069 |
NPI Enumeration Date: | 05/07/2009 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |