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Organization

ALEXANDER YOUTH NETWORK OF LENOIR

Active
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Organization

ALEXANDER YOUTH NETWORK OF LENOIR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CRAIG BASS (PRESIDENT & CEO)
(704) 362-8460
Entity
Organization

Contact information

Practice address
140 TREMONT PARK DR SE, LENOIR, NC 28645-2669
(828) 757-9706
(828) 757-0059
Mailing address
PO BOX 220632, CHARLOTTE, NC 28222-0632
(704) 366-8712
(704) 362-8464

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL

Other

Enumeration date
09/28/2006
Last updated
01/30/2009
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