Organization
JGB MENTAL HEALTH & MENTAL RETARDATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HART JD (GENERAL COUNSEL)
(212) 769-6212
Entity
Organization
Contact information
Practice address
250 WEST 64 STREET, 4TH FL, NEW YORK, NY 10023-6601
(212) 769-7800
(212) 769-7869
Mailing address
250 W 64 ST, NEW YORK, NY 10023-6301
(212) 769-7800
(212) 769-7869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6711130
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994892
—
NY
Enumeration date
07/28/2006
Last updated
11/26/2025
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