Provider Demographics
NPI:1487987293
Name:UNLIMITED ACCESS, INC.
Entity type:Organization
Organization Name:UNLIMITED ACCESS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA
Authorized Official - Phone:910-224-6175
Mailing Address - Street 1:39 MAR JOY ROAD
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-5070
Mailing Address - Country:US
Mailing Address - Phone:910-224-6175
Mailing Address - Fax:910-892-3657
Practice Address - Street 1:6674 PLAIN VIEW HIGHWAY
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-6864
Practice Address - Country:US
Practice Address - Phone:910-892-3289
Practice Address - Fax:910-892-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 251S00000X
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management