Organization
321 MENTAL HEALTH/SUBSTANCE ABUSE CRISIS RESPONSE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGENIA MAE HUBBARD LCSW (OWNER/OPERATOR)
(919) 247-0535
Entity
Organization
Contact information
Practice address
3232 SUMMERFIELD RIDGE LN, MATTHEWS, NC 28105-8507
(704) 918-8513
(704) 291-9354
Mailing address
PO BOX 562, MATTHEWS, NC 28106-0562
(704) 918-8513
(704) 291-9354
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C009113
NC
Other
Enumeration date
06/27/2015
Last updated
08/19/2015
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