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NPI Code Detail

MEDICARE: ALEXANDER YOUTH NETWORK

MEDICARE: ALEXANDER YOUTH NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1184855488
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDER YOUTH NETWORK
Provider Business Mailing Address
First Line : 6220 THERMAL RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-5630
Country : US
Telephone Number : 704-366-8712
Fax Number :
Provider Business Practice Location Address
First Line : 400 W. MARION ST.
Second Line : TURNING POINT ACADEMY, LOWER WING
City : SHELBY
State : NC
Zip : 28150-5338
Country : US
Telephone Number : 704-476-8062
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. BRENNON D. GRAHAM
Credential :
Telephone Number : 704-366-8712
Provider Enumeration Date : 08/04/2009
Last Update Date : 08/28/2025

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Directions to “ALEXANDER YOUTH NETWORK ” Practice Location

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