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Community Access Unlimitd INC

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

NPI number1982124996
StatusActive
Last updated in NPPESJun 21, 2017

Details

NPI
1982124996
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

116 W Grand St Apt 104
Elizabeth, NJ 07202-1400

Phone 908-354-3040

Mailing address

80 W Grand St
Elizabeth, NJ 07202-1471

Phone 908-354-3040

Authorized official

Sidney Blanchard
Executive Director
9083543040

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