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Contact Information

ALEXANDER YOUTH NETWORK
6220 THERMAL RD
CHARLOTTE, NC28211-5630
 Phone: 704-366-8712
 Fax: 704-362-8464
 Website:
Indicates primary specialty

NPI Profile & details for ALEXANDER YOUTH NETWORK

NPI Number 1518060318
LBN Legal business name ALEXANDER YOUTH NETWORK
Authorized official BRENNON GRAHAM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2006
Last updated 08/29/2025 - About 9 months ago
Identifiers
NC License # LICENSE NOT NUMBERED
NC License # MHL060968
NC Medicaid 800234R
NC Medicaid 8300234
NC Medicaid 8300234B
NC Medicaid 8300234G
NC Medicaid 8300234I
NC Medicaid THERAPEUTIC FOSTER C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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