Organization
MARTIN DE PORRES SCHOOL FOR EXCEPTIONAL CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BLIXT (EXECUTIVE DIRECTOR)
(917) 596-5804
Entity
Organization
Contact information
Practice address
13625 218TH ST, SPRINGFIELD GARDENS, NY 11413-2226
(718) 525-3414
(718) 525-0986
Mailing address
13625 218TH ST, SPRINGFIELD GARDENS, NY 11413-2226
(718) 525-3414
(718) 525-0986
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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