Organization
ST LAWRENCE PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J DAVISON (SECRETARY 2)
(315) 541-2117
Entity
Organization
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2117
(315) 541-2138
Mailing address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2117
(315) 541-2138
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
042539
CT
283Q00000X
Psychiatric Hospital
042539
CT
323P00000X
Psychiatric Residential Treatment Facility
Primary
0025261
NY
Other
Enumeration date
07/02/2008
Last updated
10/12/2009
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