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
80 W GRAND ST, ELIZABETH, NJ 07202-1471
(908) 354-3040
Mailing address
80 W GRAND ST, ELIZABETH, NJ 07202-1471
(908) 354-3040
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451444
—
NJ
Enumeration date
03/07/2016
Last updated
07/08/2016
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