Organization
PERSONALIZED POTENTIAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN PIOCH (CHIEF OPERATING OFFICER)
(201) 956-0039
Entity
Organization
Contact information
Practice address
20 ROOSEVELT AVE, ELMWOOD PARK, NJ 07407-1031
(201) 956-0039
Mailing address
20 ROOSEVELT AVE, ELMWOOD PARK, NJ 07407-1031
(201) 956-0039
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/28/2017
Last updated
11/29/2017
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