NPIMap

Organization Active NPI

Alexander Youth Network

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1265326540
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALEXANDER YOUTH NETWORK
Practice address
451 Knollwood Street
Rooms: 115,116,117
Winston Salem, NC 27103
Phone
(704) 366-8712
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brennon D. Graham
Title
Ceo
Phone
(704) 366-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

451 Knollwood Street
Rooms: 115,116,117
Winston Salem, NC 27103

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630

Other names 1

  • Moore Day Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alexander Youth Network41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

451 Knollwood St
Rm 11511
Winston Salem, NC 27103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1265326540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 THERMAL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 KNOLLWOOD STREET",
            "address_2": "ROOMS: 115,116,117",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "704-366-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER YOUTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRENNON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-366-8712"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Day Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.