Organization
UNTAPPED POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J COE MAS (FOUNDER/CEO)
(973) 449-9310
Entity
Organization
Contact information
Practice address
28 BALDWIN PL, BLOOMFIELD, NJ 07003-6009
(973) 932-0344
Mailing address
28 BALDWIN PL, BLOOMFIELD, NJ 07003-6009
(973) 932-0344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
08/17/2023
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