Provider First Line Business Practice Location Address:
QUEENS VILLAGE JAMAICA WELLNESS AND RECOVERY CENTER
Provider Second Line Business Practice Location Address:
80-45 WINCHESTER BOULEVARD (BUILDING 73)
Provider Business Practice Location Address City Name:
QUEENS VILLAGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-264-3384
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2019