321 Mental Health/Substance Abuse Crisis Response Center, PLLC
Community/Behavioral Health in Matthews, NC. Organization (NPI-2).
NPI number1861874794
StatusActive
Last updated in NPPESAug 19, 2015
Details
- NPI
- 1861874794
- Entity type
- Organization (NPI-2)
- Legal business name
- 321 Mental Health/Substance Abuse Crisis Response Center, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2015
- Last updated
- Aug 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | C009113 | NC | Yes |
Practice location
3232 Summerfield Ridge LnMatthews, NC 28105-8507
Phone 704-918-8513 · Fax 704-291-9354
Mailing address
Po Box 562Matthews, NC 28106-0562
Phone 704-918-8513 · Fax 704-291-9354
Authorized official
Regenia Mae Hubbard
Owner/Operator
9192470535
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