| Alexander Youth Network | |
|
1904 Dallas-cherryville Hwy Dallas NC 28034-7706 | |
| (704) 922-9115 | |
| Not Available |
| Full Name | Alexander Youth Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1904 Dallas-cherryville Hwy, Dallas, North Carolina |
| Authorized Official Name and Position | Brennon Graham (CEO) |
| Authorized Official Contact | 7043668712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Youth Network 6220 Thermal Rd Charlotte NC 28211-5630 Ph: (704) 366-8712 | Alexander Youth Network 1904 Dallas-cherryville Hwy Dallas NC 28034-7706 Ph: (704) 922-9115 |
| NPI Number | 1558595736 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558595736 | NPI | - | NPPES |
| 8301458H | Medicaid | NC | |
| 8301458 | Medicaid | NC | |
| 8301458I | Medicaid | NC | |
| 8301458R | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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