# ALEXANDER YOUTH NETWORK OF LENOIR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134211030
- **Authorized official:** MR. CRAIG BASS (PRESIDENT & CEO)
- **Authorized official phone:** (704) 362-8460

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 01/30/2009