Wilmington Health Access For Teens

LBN: Wilmington Health Access For Teens
Wilmington Health Access For Teens is an health care organization with primary practice located at 1805 S 13Th St , Wilmington NC 28401-6469. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Wilmington Health Access For Teens can be contacted via phone (910) 772-5552, or through Van De Bovenkamp, Maria via phone (910) 790-9949.

Contact Information

Primary practice address
1805 S 13Th St Wilmington NC 28401-6469
Phone: (910) 772-5552
Fax: (910) 772-5554
Website:
Map and Directions
Authorized official contact:
Name: Van De Bovenkamp, Maria Certified Medical Assistant (CMA)
Phone: (910) 790-9949

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063547990
LBN Legal business name Wilmington Health Access For Teens
DBA Doing business as
Authorized official Van De Bovenkamp, Maria Certified Medical Assistant (CMA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063547990 NPPES
North Carolina MEDICAID 6005591

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