St Lawrence Addiction Treatment Center
Community/Behavioral Health in Ogdensburg, NY. Organization (NPI-2).
NPI number1124100581
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124100581
- Entity type
- Organization (NPI-2)
- Legal business name
- St Lawrence Addiction Treatment Center
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 070811389 | NY | Yes |
Practice location
1 Chimney Point DriveHamilton Hall
Ogdensburg, NY 13669-2291
Phone 315-393-1180 · Fax 315-393-6160
Mailing address
1 Chimney Point DriveHamilton Hall
Ogdensburg, NY 13669-2291
Phone 315-393-1180 · Fax 315-393-6160
Authorized official
Michael A Lawler
Associate Commissioner Division Of
5184575312
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