Provider Demographics
NPI:1730704396
Name:COMMUNITY ACCESS & INCLUSION FOUNDATION INC
Entity type:Organization
Organization Name:COMMUNITY ACCESS & INCLUSION FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:SALAZAR II
Authorized Official - Suffix:II
Authorized Official - Credentials:MHS, OTR/L
Authorized Official - Phone:706-829-6706
Mailing Address - Street 1:PO BOX 6090
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30916-6090
Mailing Address - Country:US
Mailing Address - Phone:706-804-0360
Mailing Address - Fax:
Practice Address - Street 1:2320 NEAL ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-3082
Practice Address - Country:US
Practice Address - Phone:706-804-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health