Organization
ST LAWRENCE PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL BREW CAGS (CHIEF OF SERVICE)
(315) 541-2590
Entity
Organization
Contact information
Practice address
32735 COUNTY ROUTE 29 STE A, PHILADELPHIA, NY 13673-4210
(315) 642-3142
(315) 642-3249
Mailing address
32735 COUNTY ROUTE 29 STE A, PHILADELPHIA, NY 13673-4210
(315) 642-3142
(315) 642-3249
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
064470
NY
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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