Queens Village Committee For Mental Health For J-cap, Inc

NPI 1679641757 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1679641757
Enumeration Date 11/30/2006
Last Updated 01/12/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DIANE DIANE
Position CHIEF EXECUTIVE OFFICER
Phone (718) 322-2500
Fax (718) 322-1881
Practice Location
116-30 SUTPHIN BLVD.
JAMAICA NY, 11434-1527, US
Phone (718) 322-2500
Fax (718) 322-1881
Business Location
231-35 MERRICK BLVD
LAURELTON NY, 11413-2176, US
Phone (718) 712-1100
Fax (718) 481-8693
Toxanomy
Taxonomy Code 324500000X
License State New York
License Number 090310090
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According to our database, Queens Village Committee For Mental Health For J-cap, Inc NPI is 1679641757, taxonomy code is 324500000X and license number is 090310090, license state is located at New York. Queens Village Committee For Mental Health For J-cap, Inc physically located at 116-30 Sutphin Blvd., Jamaica NY, 11434-1527. NPI Number 1033115704 has the healthcare provider type.

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1679641757 NPI number is provided on an as is basis without warranty of any kind. 1679641757 is maintained by the National Plan & Provider Enumeration System. The contents of Queens Village Committee For Mental Health For J-cap, Inc are for informational purposes only.