| 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 (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 | 1801117577 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801117577 | NPI | - | NPPES |
| 8302738 | Medicaid | NC | |
| 8300234 | Medicaid | NC | |
| 8301183 | Medicaid | NC | |
| 8301458 | Medicaid | NC | |
| 7301555 | Medicaid | NC | |
| 6005155 | Medicaid | NC | |
| 8301801 | Medicaid | NC | |
| 6005122 | Medicaid | NC | |
| 8302736 | Medicaid | NC | |
| 8300243 | Medicaid | NC | |
| 890101A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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