Organization
COMMUNITY ACCESS UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY BLANCHARD (EXECUTIVE DIRECTOR)
(908) 354-3040
Entity
Organization
Contact information
Practice address
640 SUMMER ST, ELIZABETH, NJ 07202-3645
(908) 354-3040
(908) 354-2665
Mailing address
80 WEST GRAND STREET, ELIZABETH, NJ 07202-1447
(908) 354-3040
(908) 354-2665
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8715408
—
NJ
Enumeration date
02/01/2007
Last updated
06/08/2015
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