Organization
QUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH JCAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERVIN D RHYMES CASAC (PROGRAM DIRECTOR)
(718) 322-2500
Entity
Organization
Contact information
Practice address
11630 SUTPHIN BLVD, JAMAICA, NY 11434-1527
(718) 322-2500
Mailing address
11630 SUTPHIN BLVD, JAMAICA, NY 11434-1527
(718) 322-2500
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
12497
NY
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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