Potential Uncharted
NPI #1679223176 in Lodi, New Jersey
Provider Information
- NPI Number
- 1679223176
- Entity Type
- Organization
- Organization Name
- Potential Uncharted
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 27, 2022
- Last Updated
- Mar 27, 2022
Practice Location
- Address
- 2 ARNOT ST UNIT 455
- City
- Lodi
- State
- New Jersey
- ZIP Code
- 07644-1629
- Phone
- (914) 672-3973
Authorized Official
- Name
- MR. LEE H PAYNE
- Title
- CO-OWNER
- Phone
- (914) 672-3973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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