Organization · Type 2 NPI

ST Lawrence County

Community/Behavioral Health Agency · Canton, NY

NPI number 1699898635 Active

Practice location

80 State Highway 310 Ste 1
Canton, NY 13617-1436

Call (315) 386-2167 Map

Fax (315) 386-2435

Mailing address

80 State Highway 310, Suite 1
Canton, NY 13617-1493

Other practice locations

80 State Highway 310, Suite 1, Canton, NY 13617-1493 · (315) 386-2167

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Social Worker	104100000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

20 other providers at this address

NPI record

NPI: 1699898635
Entity type: Organization (Type 2)
Issued: Apr 6, 2007
Last updated: Jan 6, 2023
Status: Active
Subpart: Yes of ST Lawrence County

Other names

<unavail>
ST Lawrence County Community Services · other name
ST Lawrence County Community Services · other name

Authorized official

Mr. Jay M Ulrich
Director
(315) 386-3562

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699898635

ST Lawrence County's National Provider Identifier is 1699898635, issued on Apr 6, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Canton, NY. The record was last updated on Jan 6, 2023.