Organization · Type 2 NPI

Martin de Porres

Community/Behavioral Health Agency · Elmont, NY

NPI number 1063712347 Active

Practice location

621 Elmont Road
Elmont, NY 10003

Fax (516) 502-2841

Mailing address

621 Elmont Rd
Elmont, NY 11003-4028

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1063712347

Martin de Porres's National Provider Identifier is 1063712347, issued on Nov 2, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Elmont, NY. The record was last updated on Nov 2, 2010.