Organization · Type 2 NPI
Personalized Potential Center
Developmental Disabilities Clinic/Center · Elmwood Park, NJ
Practice location
20 Roosevelt Ave
Elmwood Park, NJ 07407-1031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
| Hearing and Speech Clinic/Center | 261QH0700X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Physical Therapy Clinic/Center | 261QP2000X | None listed |
| Rehabilitation Clinic/Center | 261QR0400X | None listed |
| Occupational Medicine Clinic/Center | 261QX0100X | None listed |
| Preferred Provider Organization | 305R00000X | None listed |
| Point of Service | 305S00000X | None listed |
| Non-Pharmacy Dispensing Site | 332900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Respite Care | 385H00000X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1093229064
Personalized Potential Center's National Provider Identifier is 1093229064, issued on Nov 28, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Elmwood Park, NJ. The record was last updated on Nov 29, 2017.