| Community Access Unlimited | |
|
1219 S State St Hillside NJ 07205-2623 | |
| (908) 354-3040 | |
| Not Available |
| Full Name | Community Access Unlimited |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1219 S State St, Hillside, New Jersey |
| Authorized Official Name and Position | Sidney Blanchard (ASSOCIATE 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 W Grand St Elizabeth NJ 07202-1471 Ph: (908) 354-3040 | Community Access Unlimited 1219 S State St Hillside NJ 07205-2623 Ph: (908) 354-3040 |
| NPI Number | 1144605155 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 06/30/2020 |
| Certification Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144605155 | NPI | - | NPPES |
| 0374725 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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