| Community Access Unlimited | |
|
621 Green St Elizabeth NJ 07202-2746 | |
| (908) 354-3040 | |
| (908) 354-2665 |
| Full Name | Community Access Unlimited |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 621 Green St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Sidney Blanchard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9083543040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Access Unlimited 80 West Grand Street Elizabeth NJ 07202-1447 Ph: (908) 354-3040 | Community Access Unlimited 621 Green St Elizabeth NJ 07202-2746 Ph: (908) 354-3040 |
| NPI Number | 1386782720 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386782720 | NPI | - | NPPES |
| 8715505 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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