| Queens Recovery Center, Llc | |
|
15813 72nd Ave Flushing NY 11365-1140 | |
| (781) 558-8693 | |
| Not Available |
| Full Name | Queens Recovery Center, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 15813 72nd Ave, Flushing, New York |
| Authorized Official Name and Position | Christopher Foster (OFFICER) |
| Authorized Official Contact | 7815588693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Recovery Center, Llc 15813 72nd Ave Fl 2 Flushing NY 11365-4100 Ph: (781) 558-8693 | Queens Recovery Center, Llc 15813 72nd Ave Flushing NY 11365-1140 Ph: (781) 558-8693 |
| NPI Number | 1285462812 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285462812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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