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Martin De Porres Group Homes
Emotionally Disturbed Childrens' Residential Treatment Facility in Springfield Gardens, New York
NPI 1629163563

Martin De Porres Group Homes is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Springfield Gardens, NY. Martin De Porres Group Homes practices in Springfield Gardens, NY. The NPI Number for Martin De Porres Group Homes is 1629163563 and holds a License No. 00328116 (New York).

The current practice location address for Martin De Porres Group Homes is 136 25 218Th Street, Springfield Gardens, NY and can be reached out via phone at 718-527-0606 and via fax at 718-723-1528.

Location: 136 25 218Th Street, Springfield Gardens, NY, 11413-2226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629163563
Provider Name
Martin De Porres Group Homes
Credential
Provider Entity Type
Organization
Address
136 25 218Th Street, Springfield Gardens, NY, 11413-2226
Phone Number
718-527-0606
Fax Number
718-723-1528
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00328116 05 NY
institution
Provider Business Practice Location Address Details
Address
136 25 218Th Street
City
Springfield Gardens
State
New York
Zip
11413-2226
Phone Number
718-527-0606
Fax Number
718-723-1528
person
Provider Business Mailing Address Details
Address
136 25 218Th Street
City
Springfield Gardens
State
New York
Zip
11413-2226
Phone Number
718-527-0606
Fax Number
718-723-1528
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
00328116 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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