Organization
ALEXANDER YOUTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENNON D GRAHAM (CEO)
(704) 366-8712
Entity
Organization
Contact information
Practice address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 366-8712
(704) 362-8464
Mailing address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 366-8712
(704) 362-8464
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890101A
—
NC
Enumeration date
03/30/2009
Last updated
08/28/2025
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