Organization
ALEXANDER YOUTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENNON 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
251S00000X
Community/Behavioral Health Agency
Primary
MHL060968
NC
253J00000X
Foster Care Agency
LICENSE NOT NUMBERED
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800234R
—
NC
05
—
8300234
—
NC
05
—
8300234B
—
NC
05
—
8300234G
—
NC
05
—
8300234I
—
NC
05
—
THERAPEUTIC FOSTER C
—
NC
Enumeration date
09/07/2006
Last updated
08/29/2025
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