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 only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Alexander Youth Network can be contacted via phone (704) 366-8712, or through Bass, Craig via phone (704) 366-8712.

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
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHL-060-969 North Carolina

Profile Details

NPI number 1518109024
LBN Legal business name Alexander Youth Network
DBA Doing business as
Authorized official Bass, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2009
Last updated Mar 30th, 2009 - about 15 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 1518109024 NPPES
North Carolina MEDICAID 3404536

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