Organization
ADMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LETSIE GENERETTE (QUALIFIED PROFESSIONAL)
(910) 323-0584
Entity
Organization
Contact information
Practice address
131 HAY ST, SUITE 101, FAYETTEVILLE, NC 28301-5649
(910) 323-0584
(910) 323-0566
Mailing address
131 HAY ST, SUITE 101, FAYETTEVILLE, NC 28301-5649
(910) 323-0584
(910) 323-0566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
026931
NC
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up