# UNLOCKED POTENTIAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Unlocked Potential
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992242796
- **Authorized official:** MS. KIMBERLY KEYES LCSW (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (732) 339-3100

## Contact information

- **Practice address:** 331 DORN AVE, MIDDLESEX, NJ 08846-1117
- **Practice address phone:** (732) 339-3100
- **Practice address fax:** (732) 601-8715
- **Mailing address:** 331 DORN AVE, MIDDLESEX, NJ 08846-1117
- **Mailing address phone:** (732) 339-3100
- **Mailing address fax:** (732) 601-8715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NJ | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017