| Unlocked Potential, Llc | |
|
331 Dorn Ave Middlesex NJ 08846-1117 | |
| (732) 718-9428 | |
| Not Available |
| Full Name | Unlocked Potential, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 331 Dorn Ave, Middlesex, New Jersey |
| Authorized Official Name and Position | Kimberly Keyes (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7327189428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlocked Potential, Llc 331 Dorn Ave Middlesex NJ 08846-1117 Ph: (732) 718-9428 | Unlocked Potential, Llc 331 Dorn Ave Middlesex NJ 08846-1117 Ph: (732) 718-9428 |
| NPI Number | 1508269911 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 09/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508269911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05408800 (New Jersey) | Primary |
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