Community Access Unlimited

Organization Active NPI Community/Behavioral Health Agency · Roselle, NJ

NPI 1194100883 · NPPES record last updated Apr 4, 2017

Key facts

NPI
1194100883
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COMMUNITY ACCESS UNLIMITED
Practice address
719 Rosewood Ave
Roselle, NJ 07203-1527
Phone
(908) 354-3040
NPI assigned
Jul 23, 2015
Organization subpart
No

Authorized official

Name
Mr. Sidney Blanchard
Title
Executive Director
Phone
(908) 354-3040

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Community Access Unlimited (149 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

719 Rosewood Ave
Roselle, NJ 07203-1527

Mailing address

80 W Grand St
Elizabeth, NJ 07202-1471
Phone (908) 354-3040

Other identifiers

IdentifierTypeStateIssuer
0374725MedicaidNJ

Other providers in Roselle, NJ

All providers in Roselle, NJ · Community/Behavioral Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.