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
945 SW BROAD ST, SOUTHERN PINES, NC 28387-5928
(910) 684-1400
(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
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/16/2012
Last updated
08/29/2025
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