| Alexander Youth Network Of Lenoir | |
|
140 Tremont Park Dr Se Lenoir NC 28645-2669 | |
| (828) 757-9706 | |
| (828) 757-0059 |
| Full Name | Alexander Youth Network Of Lenoir |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 140 Tremont Park Dr Se, Lenoir, 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 Of Lenoir Po Box 220632 Charlotte NC 28222-0632 Ph: (704) 366-8712 | Alexander Youth Network Of Lenoir 140 Tremont Park Dr Se Lenoir NC 28645-2669 Ph: (828) 757-9706 |
| NPI Number | 1134211030 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134211030 | NPI | - | NPPES |
| 8301183 | Medicaid | NC | |
| 8301183B | Medicaid | NC | |
| 8301555B | Medicaid | NC | |
| 89014AV | Medicaid | NC | |
| 8301555 | Medicaid | NC | |
| 8301183R | Medicaid | NC |
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