| Alexander Youth Network | |
|
8025 N Point Blvd Ste 260 Winston Salem NC 27106-3859 | |
| (336) 724-1412 | |
| (336) 724-1464 |
| Full Name | Alexander Youth Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8025 N Point Blvd Ste 260, Winston Salem, North Carolina |
| Authorized Official Name and Position | Catherine Harrison (CONTRACT MGR.) |
| Authorized Official Contact | 7043668712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Youth Network 8025 N Point Blvd Ste 60 Winston Salem NC 27106-3262 Ph: (336) 724-1412 | Alexander Youth Network 8025 N Point Blvd Ste 260 Winston Salem NC 27106-3859 Ph: (336) 724-1412 |
| NPI Number | 1013073840 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013073840 | NPI | - | NPPES |
| 8300679 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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