Alexander Youth Network
Organization Active NPI Community/Behavioral Health Agency · Yadkinville, NC
NPI 1497328892 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1497328892
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ALEXANDER YOUTH NETWORK
- Practice address
- 305 N State St
Yadkinville, NC 27055-5245 - Phone
- (704) 366-8712
- NPI assigned
- Jul 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Brennon Graham
- Title
- Ceo
- Phone
- (704) 366-8712
Corporate family (same tax ID) 40
National Provider Directory
- Tax ID family
- Alexander Youth Network
Locations
305 N State St
Yadkinville, NC 27055
Phone (336) 551-1175
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
305 N State St
Yadkinville, NC 27055-5245
Mailing address
6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 366-8712
Other names
- Yadkinville Day Treatment
NPI Registry JSON
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1497328892",
"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",
"telephone_number": "704-366-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N STATE ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270555245",
"telephone_number": "704-366-8712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER YOUTH NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-22",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "BRENNON",
"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": "Yadkinville Day Treatment",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Yadkinville Day Treatment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yadkinville, NC
- 333 East Lee Avenue Opco LLC
- Aegis Family Health Centers Inc
- Charlotte-Anne Brewer Allen
- B&L Advanced Home Care,Inc.
- Christopher Shane Bailey
- Barium Springs Home for Children
- Mahlon Dwight Barringer Jr.
All providers in Yadkinville, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.