| Alexander Youth Network | |
|
1760b Country Club Rd Gastonia NC 28054-4800 | |
| (704) 668-7123 | |
| (704) 362-8464 |
| Full Name | Alexander Youth Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1760b Country Club Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Ashley V Conrad (PRESIDENT & COO) |
| 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 1760b Country Club Rd Gastonia NC 28054-4800 Ph: (704) 668-7123 |
| NPI Number | 1881901098 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881901098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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