NPI 1013372051

Q.V.C.M.H. J-Cap

Organisation Substance Abuse Rehabilitation Facility Jamaica, NY

Practice location

Address: 11630 Sutphin Blvd, Jamaica, NY 11434-1527
Phone: (718) 322-2500
Fax: (718) 322-1881

Authorised official

Name: Diane Gonzalez
Title: Cheif Excutive Officer
Phone: (718) 712-1100

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 8492 (NY)

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1013372051
Entity type: Organization
NPI issued: 17 Dec 2015
Record last updated: 17 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.