| Alexander Youth Network | |
|
140 Tremont Park Dr Se Lenoir NC 28645-4642 | |
| (828) 757-9706 | |
| Not Available |
| Full Name | Alexander Youth Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 140 Tremont Park Dr Se, Lenoir, North Carolina |
| Authorized Official Name and Position | Craig Bass (PRESIDENT & CEO) |
| Authorized Official Contact | 7043668712 |
| 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 140 Tremont Park Dr Se Lenoir NC 28645-4642 Ph: (828) 757-9706 |
| NPI Number | 1205060480 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205060480 | NPI | - | NPPES |
| 6005155 | Medicaid | NC | |
| 8301183H | Medicaid | NC | |
| 8301183B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Alexander Youth Network Of Lenoir Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Tremont Park Dr Se, Lenoir, NC 28645 Phone: 828-757-9706 Fax: 828-757-0059 |