Organization
ALEXANDER YOUTH NETWORK
Active
Other names
PRTF Dickson
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
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-060-972
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404525
—
NC
Enumeration date
03/30/2009
Last updated
08/28/2025
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