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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.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X | |||
Adult Day Care |
261QA0600X | |||
Community/Behavioral Health |
251S00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Hearing and Speech |
261QH0700X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Occupational Medicine |
261QX0100X | |||
Physical Therapy |
261QP2000X | |||
Point of Service |
305S00000X | |||
Preferred Provider Organization |
305R00000X | |||
Private Vehicle |
347C00000X | |||
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Respite Care |
385H00000X |
| NPI Number | 1093229064 |
| LBN Legal business name | PERSONALIZED POTENTIAL CENTER |
| Authorized official | MEGAN PIOCH - (CHIEF OPERATING OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/28/2017 |
| Last updated | 11/29/2017 - About 9 years ago |
| Identifiers | n/a |
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PERSONALIZED POTENTIAL CENTER