Provider Demographics
NPI:1639322613
Name:DR. MARGARET M. LAWRENCE CHILD DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:DR. MARGARET M. LAWRENCE CHILD DEVELOPMENT CENTER
Other - Org Name:DEPARTMENT OF MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-364-3728
Mailing Address - Street 1:50 SANATORIUM RD
Mailing Address - Street 2:BLDG K
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3555
Mailing Address - Country:US
Mailing Address - Phone:845-364-3700
Mailing Address - Fax:845-364-2456
Practice Address - Street 1:50 SANATORIUM RD
Practice Address - Street 2:BLDG K
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970
Practice Address - Country:US
Practice Address - Phone:845-364-3700
Practice Address - Fax:845-364-2456
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE COUNTY OF ROCKLAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency