Martin De Porres Group Homes
NPI #1629163563 in Springfield Gardens, New York
Provider Information
- NPI Number
- 1629163563
- Entity Type
- Organization
- Organization Name
- Martin De Porres Group Homes
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 136 25 218TH STREET
- State
- New York
- ZIP Code
- 11413-2226
- Phone
- (718) 527-0606
Authorized Official
- Name
- PHILIP ROFRANO, LCSW
- Title
- PRESIDENT EXECUTIVE DIRECTOR
- Phone
- (718) 527-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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