Organization
ST LAWRENCE PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J DAVISON (SECRETARY 2)
(315) 541-5117
Entity
Organization
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2001
(315) 541-2138
Mailing address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2001
(315) 541-2138
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
P58543
NY
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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