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Community Access Unlimitd INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in New Providence, NJ. Organization (NPI-2).

NPI number1124548151
StatusActive
Last updated in NPPESJun 21, 2017

Details

NPI
1124548151
Entity type
Organization (NPI-2)
Legal business name
Community Access Unlimitd INC
Organization subpart
No
Enumeration date
Jun 21, 2017
Last updated
Jun 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

1176 Springfield Ave # 1b
New Providence, NJ 07974-2948

Phone 908-354-3040

Mailing address

80 W Grand St
Elizabeth, NJ 07202-1471

Phone 908-354-3030

Authorized official

Sidney Blanchard
Executive Director
9083543040

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