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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005122
—
NC
05
—
6005155
—
NC
05
—
7301555
—
NC
05
—
8300234
—
NC
05
—
8300243
—
NC
05
—
8301183
—
NC
05
—
8301458
—
NC
05
—
8301801
—
NC
05
—
8302736
—
NC
05
—
8302738
—
NC
05
—
890101A
—
NC
Enumeration date
06/17/2010
Last updated
08/29/2025
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