Mental Health Providers Of Western Queens, INC.
Clinic/Center, Adult Mental Health in Jackson Heights, NY. Organization (NPI-2).
NPI number1477699791
StatusActive
Last updated in NPPESAug 11, 2009
Details
- NPI
- 1477699791
- Entity type
- Organization (NPI-2)
- Legal business name
- Mental Health Providers Of Western Queens, INC.
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Aug 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Mental Health Providers Of Western Queens, INC (Doing Business As)
Practice location
74 09 37th AveSuite 315
Jackson Heights, NY 11372-6303
Phone 718-672-1705 · Fax 718-672-2027
Mailing address
74 09 37th Ave Suite 315Jackson Heights, NY 11372-6303
Phone 718-672-1705 · Fax 718-672-2027
Authorized official
Rosa E Martinez-Cao
Senior Office Manager
7186721705
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