Organization
QUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH FOR J-CAP, INC
Active
Other names
j-cap
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY GATELL (CHIEF FINANCIAL OFFICER)
(718) 960-7629
Entity
Organization
Contact information
Practice address
116-30 SUTPHIN BLVD., JAMAICA, NY 11434-1527
(718) 322-2500
(718) 322-1881
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7568
(718) 481-8693
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
090310090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01090000
—
NY
Enumeration date
11/30/2006
Last updated
09/23/2022
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