Organization
ST LAWRENCE COUNTY
Active
Parent organization
ST LAWRENCE COUNTY
Other names
St Lawrence County Public Health l- EL SC MA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LAWRENCE COUNTY
Authorized official
DEBRA BRIDGES MBA (FISCAL MANAGER)
(315) 229-3405
Entity
Organization
Contact information
Practice address
80 STATE HIGHWAY 310, SUITE 2, CANTON, NY 13617-1476
(315) 386-2325
(315) 386-2203
Mailing address
80 STATE HIGHWAY 310, SUITE 2, CANTON, NY 13617-1476
(315) 386-2325
(315) 386-2203
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4423600
NY
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
4423600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03004588
—
NY
Enumeration date
03/28/2007
Last updated
10/06/2014
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