Martin De Porres School for Exceptional Children

NPI #1275858847 in Springfield Gardens, New York

Provider Information

NPI Number: 1275858847
Entity Type: Organization
Organization Name: Martin De Porres School for Exceptional Children
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Apr 7, 2010
Last Updated: Apr 7, 2010

Practice Location

Address: 13625 218TH ST
City: Springfield Gardens
State: New York
ZIP Code: 11413-2226
Phone: (718) 525-3414

Authorized Official

Name: RAYMOND BLIXT
Title: EXECUTIVE DIRECTOR
Phone: (917) 596-5804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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