Organization
COMMUNITY ACCESS UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA P GATELY (DIRECTOR OF EHR ADMINISTRATION)
(908) 354-3040
Entity
Organization
Contact information
Practice address
519 CHESTNUT ST, ROSELLE, NJ 07203-1943
(908) 354-3040
Mailing address
80 W GRAND ST, ELIZABETH, NJ 07202-1471
(908) 354-3040
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374725
—
NJ
Enumeration date
09/24/2019
Last updated
09/24/2019
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