Organization
MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.
Active
Organization
MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LAZO MONTANEZ LMSW (PROGRAM DIRECTOR)
(718) 898-5085
Entity
Organization
Contact information
Practice address
6207 WOODSIDE AVE, 4TH FLOOR, WOODSIDE, NY 11377-3576
(718) 898-5085
(718) 898-8852
Mailing address
6207 WOODSIDE AVE, 4TH FLOOR, WOODSIDE, NY 11377-3576
(718) 898-5085
(718) 898-8852
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
096826
NY
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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