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
1904 DALLAS-CHERRYVILLE HWY, DALLAS, NC 28034-7706
(704) 922-9115
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301458
—
NC
05
—
8301458H
—
NC
05
—
8301458I
—
NC
05
—
8301458R
—
NC
Enumeration date
05/04/2009
Last updated
08/29/2025
Update your record
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