Organization · NPI-2

50 St Lawrence Opco LLC

Psychiatric Hospital · Tiffin, OH

NPI number1699519199
StatusActive
Last updated in NPPESSep 23, 2025

Details

NPI
1699519199
Entity type
Organization (NPI-2)
Legal business name
50 St Lawrence Opco LLC
Organization subpart
No
Enumeration date
Jun 20, 2024
Certification date
Sep 23, 2025
Last updated
Sep 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
283Q00000X Psychiatric Hospital––Yes
324500000X Substance Abuse Rehabilitation Facility––

Practice location

50 St Lawrence Dr
Tiffin, OH 44883-8310

Phone 567-207-2230

Mailing address

60 Hempstead Ave Ste 3005
West Hempstead, NY 11552-2148

Phone 347-728-8425

Authorized official

Daniel Schaffer
Managing Member
3477288425

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