# WILMINGTON HEALTH ACCESS FOR TEENS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILMINGTON HEALTH ACCESS FOR TEENS, INC
- **Other names:** Ashley Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841460755
- **Legal business name:** WILMINGTON HEALTH ACCESS FOR TEENS, INC
- **Authorized official:** MARIA G VAN DE BOVENKAMP CMA (AAMA) (DIRECTOR OF ADMINISTRATION)
- **Authorized official phone:** (910) 790-9949

## Contact information

- **Practice address:** 4005 OLEANDER DR, WILMINGTON, NC 28403-6816
- **Practice address phone:** (910) 790-9949
- **Practice address fax:** (910) 790-9455
- **Mailing address:** 4005 OLEANDER DR, WILMINGTON, NC 28403-6816
- **Mailing address phone:** (910) 790-9949
- **Mailing address fax:** (910) 790-9455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 10/28/2010