| Untapped Potential | |
|
28 Baldwin Pl Bloomfield NJ 07003-6009 | |
| (973) 932-0344 | |
| Not Available |
| Full Name | Untapped Potential |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28 Baldwin Pl, Bloomfield, New Jersey |
| Authorized Official Name and Position | John J Coe (FOUNDER/CEO) |
| Authorized Official Contact | 9734499310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Untapped Potential 28 Baldwin Pl Bloomfield NJ 07003-6009 Ph: (973) 932-0344 | Untapped Potential 28 Baldwin Pl Bloomfield NJ 07003-6009 Ph: (973) 932-0344 |
| NPI Number | 1962911214 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962911214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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