Organization Name: | DEVELOPING POTENTIAL, INC. |
NPI Number: | 1003169822 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA CASE (EXECUTIVE DIRECTOR) |
Mailing Address: | 251 Nw Executive Way Suite 200 Lees Summit |
State: | MO US |
Postal Code: | 640631892 |
Phone Number: | 8169146843 |
Fax Number: | 8165256003 |
NPI Enumeration Date: | 10/17/2012 |
NPI Last Update Date: | 02/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |