| Alexander Youth Network | |
|
6220 Thermal Rd Charlotte NC 28211-5630 | |
| (704) 366-8712 | |
| (704) 362-8464 |
| Full Name | Alexander Youth Network |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6220 Thermal Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Craig Bass (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 6220 Thermal Rd Charlotte NC 28211-5630 Ph: (704) 366-8712 |
| NPI Number | 1083856595 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083856595 | NPI | - | NPPES |
| 890101A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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