Provider First Line Business Practice Location Address:
LEXINGTON CENTER FOR MENTAL HEALTH SERVICES, INC.
Provider Second Line Business Practice Location Address:
30TH AVE & 75TH STREET
Provider Business Practice Location Address City Name:
JACKSON HEIGHTS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11370
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-350-3110
Provider Business Practice Location Address Fax Number:
718-350-3072
Provider Enumeration Date:
01/16/2007