| 321 Mental Health/substance Abuse Crisis Response Center, Pllc | |
|
3232 Summerfield Ridge Ln Matthews NC 28105-8507 | |
| (704) 918-8513 | |
| (704) 291-9354 |
| Full Name | 321 Mental Health/substance Abuse Crisis Response Center, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3232 Summerfield Ridge Ln, Matthews, North Carolina |
| Authorized Official Name and Position | Regenia Mae Hubbard (OWNER/OPERATOR) |
| Authorized Official Contact | 9192470535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 321 Mental Health/substance Abuse Crisis Response Center, Pllc Po Box 562 Matthews NC 28106-0562 Ph: (704) 918-8513 | 321 Mental Health/substance Abuse Crisis Response Center, Pllc 3232 Summerfield Ridge Ln Matthews NC 28105-8507 Ph: (704) 918-8513 |
| NPI Number | 1861874794 |
|---|---|
| Provider Enumeration Date | 06/27/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861874794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C009113 (North Carolina) | Primary |
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