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Organization
WILMINGTON HEALTH ACCESS FOR TEENS
Active
Organization
WILMINGTON HEALTH ACCESS FOR TEENS
Active
Other names
New Hanover Wellness Center-BH
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VAN DE BOVENKAMP CMA (AAMA) (DIRECTOR OF ADMINISTRATION)
(910) 790-9949
Entity
Organization
Contact information
Practice address
1307 MARKET ST, WILMINGTON, NC 28401-4331
(910) 763-4988
(910) 790-9996
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
—
—
Other
Enumeration date
02/22/2007
Last updated
04/23/2013
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