| NPI | 1194065516 |
|---|---|
| Doing Business As | LANEY HIGH SCHOOL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA G VAN DE BOVENKAMP Director Of Administration 910-790-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |