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Organization
ALEXANDER YOUTH NETWORK
Active
Organization
ALEXANDER YOUTH NETWORK
Active
Other names
ASAP - Residential SAS
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNON GRAHAM (CEO)
(704) 366-8712
Entity
Organization
Contact information
Practice address
5016 W FRIENDLY AVE, GREENSBORO, NC 27410-4346
(336) 852-5688
Mailing address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 366-8712
(704) 362-8464
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-041-631
NC DHHS
NC
Enumeration date
06/19/2019
Last updated
08/29/2025
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