Organization
COMMUNITY ACCESS UNLIMITED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY BLANCHARD (EXECUTIVE DIRECTOR)
(908) 354-3040
Entity
Organization
Contact information
Practice address
792 E 3RD AVE, ROSELLE, NJ 07203-1656
(908) 354-3040
(908) 354-6175
Mailing address
80 W GRAND ST, ELIZABETH, NJ 07202-1471
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374725
—
NJ
Enumeration date
06/25/2015
Last updated
04/04/2017
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