| Generations Of Hope | |
|
656 Larkspur Dr Fayetteville NC 28311-6955 | |
| (910) 822-4071 | |
| (910) 488-1122 |
| Full Name | Generations Of Hope |
|---|---|
| Speciality | Counselor - Professional |
| Location | 656 Larkspur Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Bianca P Gantt (CONSULTANT) |
| Authorized Official Contact | 9108224071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Of Hope 656 Larkspur Dr Fayetteville NC 28311-6955 Ph: (910) 822-4071 | Generations Of Hope 656 Larkspur Dr Fayetteville NC 28311-6955 Ph: (910) 822-4071 |
| NPI Number | 1104057488 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104057488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | (North Carolina) | Primary |
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