Community Access Unlimited Inc | |
307-311 West 1st Ave Roselle NJ 07203 | |
(908) 354-3040 | |
Not Available |
Full Name | Community Access Unlimited Inc |
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Speciality | Community/behavioral Health |
Location | 307-311 West 1st Ave, Roselle, 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 Inc 80 W Grand St Elizabeth NJ 07202-1471 Ph: (908) 354-3040 | Community Access Unlimited Inc 307-311 West 1st Ave Roselle NJ 07203 Ph: (908) 354-3040 |
NPI Number | 1366827388 |
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Provider Enumeration Date | 07/21/2015 |
Last Update Date | 04/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366827388 | NPI | - | NPPES |
0374725 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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