Organization
ST LAWRENCE COUNTY
Active
Parent organization
ST LAWRENCE COUNTY
Other names
St Lawrence County Community Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LAWRENCE COUNTY
Authorized official
MR. JAY M ULRICH (DIRECTOR)
(315) 386-3562
Entity
Organization
Contact information
Practice address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1436
(315) 386-2167
(315) 386-2435
Mailing address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617-1493
(315) 386-2167
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00655803
—
NY
Enumeration date
04/06/2007
Last updated
01/06/2023
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