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Organization

WILMINGTON HEALTH ACCESS FOR TEENS, INC

Active
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Organization

WILMINGTON HEALTH ACCESS FOR TEENS, INC

Active
Other names
Laney High School Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA G VAN DE BOVENKAMP (DIRECTOR OF ADMINISTRATION)
(910) 790-9949
Entity
Organization

Contact information

Practice address
2700 N COLLEGE RD, WILMINGTON, NC 28405-8816
(910) 452-9503
(910) 392-0505
Mailing address
4005 OLEANDER DR, WILMINGTON, NC 28403-6816
(910) 790-9949
(910) 790-9455

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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