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Organization

ST LAWRENCE PSY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY D CAVENEE M.ED (INTENSIVE CASE MANAGER)
(518) 569-8990
Entity
Organization

Contact information

Practice address
2155 ST RT 22B, MORRISONVILLE, NY 12962-3417
(518) 563-8000
(151) 856-3900
Mailing address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2001

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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