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ALEXANDER YOUTH NETWORK NPI 1740840990


NPI Information

NPI: 1740840990
Provider Name: ALEXANDER YOUTH NETWORK

Other Name: GREENSBORO PRTF

Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization

CLIA Number: 34D1048037

Address:
1601 HUFFINE MILL RD., BLDG B
GREENSBORO, NC
ZIP 27405
Phone: (336) 375-8333
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ALEXANDER YOUTH NETWORK is a psychiatric residential treatment facility in Greensboro, NC. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary ALEXANDER YOUTH NETWORK NPI is 1740840990. The provider is registered as an organization entity type.
The provider Other Name Is Greensboro Prtf.

The provider's business location address is:

1601 HUFFINE MILL RD., BLDG B
GREENSBORO, NC
ZIP 27405-509
Phone: (336) 375-8333
Fax: (336) 651-0444

The provider's authorized official is Catherine Harrison .
The authorized official title is Contracts Mgr. and has the following contact phone number (704) 366-8712.

The CLIA number assigned to this NPI record is 34D1048037 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2019 and was last updated on 10/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MHL-041-224OTHERNORTH CAROLINANC DHSR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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