Community Access Unlimited, Inc. | |
219 Cristiani St Roselle NJ 07203-2313 | |
(908) 354-3040 | |
(908) 354-6175 |
Full Name | Community Access Unlimited, Inc. |
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Speciality | Community/behavioral Health |
Location | 219 Cristiani St, 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 |
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Community Access Unlimited, Inc. 80 W Grand St Elizabeth NJ 07202-1471 Ph: (908) 354-3040 | Community Access Unlimited, Inc. 219 Cristiani St Roselle NJ 07203-2313 Ph: (908) 354-3040 |
NPI Number | 1700267580 |
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Provider Enumeration Date | 06/17/2015 |
Last Update Date | 04/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700267580 | NPI | - | NPPES |
0374725 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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