Organization
COMMUNITY ACCESS UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY BLANCHARD (CEO)
(908) 354-3040
Entity
Organization
Contact information
Practice address
1250 N BROAD ST, HILLSIDE, NJ 07205-2493
(908) 354-3040
Mailing address
80 W GRAND ST, ELIZABETH, NJ 07202-1471
(908) 354-3040
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
04/05/2017
Last updated
04/05/2017
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