Organization · NPI-2

Alexander Youth Network

Community/Behavioral Health · Wilmington, NC

NPI number1679979751
StatusActive
Last updated in NPPESAug 29, 2025

Details

NPI
1679979751
Entity type
Organization (NPI-2)
Legal business name
Alexander Youth Network
Organization subpart
No
Enumeration date
Nov 17, 2014
Certification date
Aug 29, 2025
Last updated
Aug 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • Ayn - Wilmington (Other Name)

Practice location

3806 Peachtree Ave Ste 200
Wilmington, NC 28403-6752

Phone 704-366-8712

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630

Authorized official

Brennon Graham
Ceo
7043668712

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