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Contact Information

POTENTIAL DEVELOPMENT PROGRAM
POTENTIAL DEVELOPMENT PROGRAM
2405 MARKET ST
YOUNGSTOWN, OH44507
 Phone: 234-855-1278
 Fax: 330-746-4008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for POTENTIAL DEVELOPMENT PROGRAM

NPI # 1497196513
LBN Legal business name POTENTIAL DEVELOPMENT PROGRAM
Authorized official MICHAEL THOMAS - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2013
Last updated 03/14/2024 - About 2 years ago
Identifiers
OH License # 132878
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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