Community Access Unlimited

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

NPI 1316470586 · NPPES record last updated Apr 5, 2017

Key facts

NPI
1316470586
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COMMUNITY ACCESS UNLIMITED
Practice address
313 Cristiani St
Roselle, NJ 07203-2315
Phone
(908) 354-3040
NPI assigned
Apr 5, 2017
Organization subpart
No

Authorized official

Name
Sidney Blanchard
Title
Ceo
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

313 Cristiani St
Roselle, NJ 07203-2315

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.