Organization Name: | ALEXANDER YOUTH NETWORK |
NPI Number: | 1013073840 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE HARRISON (CONTRACT MGR.) |
Mailing Address: | 7670 Northpoint Ct. Winston-salem |
State: | NC US |
Postal Code: | 271063336 |
Phone Number: | 3367241412 |
Fax Number: | 3367241464 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |