# QUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH FOR J-CAP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** j-cap
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679641757
- **Authorized official:** VICKY GATELL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (718) 960-7629

## Contact information

- **Practice address:** 116-30 SUTPHIN BLVD., JAMAICA, NY 11434-1527
- **Practice address phone:** (718) 322-2500
- **Practice address fax:** (718) 322-1881
- **Mailing address:** 311 E 175TH ST, BRONX, NY 10457-5859
- **Mailing address phone:** (718) 960-7568
- **Mailing address fax:** (718) 481-8693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | 090310090 | NY | — |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 09/23/2022
