Whalio Doctors

NPI 1134649148

Community Access Unlimitd INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Roselle, NJ

Practice location

Address
792 E 3rd Ave APT 309, Roselle, NJ 07203-1636
Phone
(908) 354-3040
Mailing address
80 W Grand St, Elizabeth, NJ 07202-1471

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1134649148
Entity type
Organization
NPI issued
21 Jun 2017
Record last updated
21 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.