| Alexander Youth Network | |
|
6220 Thermal Rd Charlotte NC 28211-5630 | |
| (704) 366-8712 | |
| (704) 362-8464 |
| Full Name | Alexander Youth Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6220 Thermal Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Craig Bass (PRESIDENT & CEO) |
| Authorized Official Contact | 7043628460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Youth Network Po Box 220632 Charlotte NC 28222-0632 Ph: (704) 366-8712 | Alexander Youth Network 6220 Thermal Rd Charlotte NC 28211-5630 Ph: (704) 366-8712 |
| NPI Number | 1518060318 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518060318 | NPI | - | NPPES |
| 8300234B | Medicaid | NC | |
| 8300234G | Medicaid | NC | |
| 8300234I | Medicaid | NC | |
| THERAPEUTIC FOSTER C | Medicaid | NC | |
| 8300234 | Medicaid | NC | |
| 800234R | Medicaid | NC |
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