Organization
UNLOCKED POTENTIAL, LLC
Active
Organization
UNLOCKED POTENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KEYES (OWNER/CLINICAL DIRECTOR)
(732) 718-9428
Entity
Organization
Contact information
Practice address
331 DORN AVE, MIDDLESEX, NJ 08846-1117
(732) 718-9428
Mailing address
331 DORN AVE, MIDDLESEX, NJ 08846-1117
(732) 718-9428
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05408800
NJ
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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