| Organization Name: | ALEXANDER YOUTH NETWORK |
| NPI Number: | 1427113505 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHERINE HARRISON (CONTRACT MGR.) |
| Mailing Address: | 2700 S. Main St. Wisnton-salem |
| State: | NC US |
| Postal Code: | 271274003 |
| Phone Number: | 3367241412 |
| Fax Number: | 3367241464 |
| NPI Enumeration Date: | 12/27/2006 |
| 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: | |