| Alexander Youth Network Moore Day Treatment | |
|
451 Knollwood Street Rooms: 115,116,117 Winston Salem NC 27103 | |
| (704) 366-8712 | |
| Not Available |
| Full Name | Alexander Youth Network Moore Day Treatment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 451 Knollwood Street, Winston Salem, North Carolina |
| Authorized Official Name and Position | Brennon D. 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 Moore Day Treatment 6220 Thermal Rd Charlotte NC 28211-5630 Ph: () - | Alexander Youth Network Moore Day Treatment 451 Knollwood Street Rooms: 115,116,117 Winston Salem NC 27103 Ph: (704) 366-8712 |
| NPI Number | 1265326540 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265326540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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