Organization
ST. LAWRENCE PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FARRELL PH.D (EXECUTIVE DIRECTOR)
(315) 287-2811
Entity
Organization
Contact information
Practice address
28 WILLIAM ST, GOUVERNEUR, NY 13642-1405
(315) 287-2811
Mailing address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
098637-1
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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