Alexander Youth Network

LBN: Alexander Youth Network
Alexander Youth Network is an health care organization with primary practice located at 6220 Thermal Rd , Charlotte NC 28211-5630. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Alexander Youth Network can be contacted via phone (704) 366-8712, or through Bass, Craig via phone (704) 362-8460.

Contact Information

Primary practice address
6220 Thermal Rd Charlotte NC 28211-5630
Fax: (704) 362-8464
Website:
Authorized official contact:
Name: Bass, Craig

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL060968 North Carolina
Agencies / Foster Care Agency 253J00000X LICENSE NOT NUMBERED North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1518060318
LBN Legal business name Alexander Youth Network
DBA Doing business as
Authorized official Bass, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 4th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518060318 NPPES
North Carolina MEDICAID 8300234B
North Carolina MEDICAID 8300234G
North Carolina MEDICAID 8300234I
North Carolina MEDICAID THERAPEUTIC FOSTER C
North Carolina MEDICAID 8300234
North Carolina MEDICAID 800234R

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