| Community Access Unlimited Inc | |
|
349 W Grand St Apt 103 Elizabeth NJ 07202-1212 | |
| (908) 354-3040 | |
| Not Available |
| Full Name | Community Access Unlimited Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 349 W Grand St Apt 103, Elizabeth, New Jersey |
| Authorized Official Name and Position | Linda P Gately (DIRECTOR OF EHR ADMINISTRATION) |
| Authorized Official Contact | 9083543040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Access Unlimited Inc 80 W Grand St Elizabeth NJ 07202-1471 Ph: (908) 354-3040 | Community Access Unlimited Inc 349 W Grand St Apt 103 Elizabeth NJ 07202-1212 Ph: (908) 354-3040 |
| NPI Number | 1093190654 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093190654 | NPI | - | NPPES |
| 0374725 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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