NPI 1982723235

St Lawrence County

Organisation Case Management Agency Canton, NY

Practice location

Address: 80 State Highway 310 Suite 2, Canton, NY 13617-1476
Phone: (315) 386-2325
Fax: (315) 386-2203

Authorised official

Name: Debra Bridges
Title: Fiscal Manager
Phone: (315) 229-3405

Registered specialties (3)

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 4423600 (NY)

Other Case Management providers in New York →

Case Management Agency

Agencies Taxonomy 251B00000X

Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X Licence 4423600 (NY)

Other Early Intervention Provider Agency providers in New York →

Registry record

NPI: 1982723235
Entity type: Organization
NPI issued: 28 Mar 2007
Record last updated: 6 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.