Organization
ALEXANDER YOUTH NETWORK
Active
Other names
Greensboro PRTF
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNON GRAHAM (CEO)
(704) 366-8712
Entity
Organization
Contact information
Practice address
1601 HUFFINE MILL RD., BLDG B, GREENSBORO, NC 27405-5509
(336) 375-8333
(336) 651-0444
Mailing address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 362-6759
(704) 362-8464
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-041-224
NC DHSR
NC
Enumeration date
06/19/2019
Last updated
08/29/2025
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