Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ELITE ADOLESCENT CARE, INC.
Active
Organization
ELITE ADOLESCENT CARE, INC.
Active
Other names
YouthSpring Residential Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVERY B. GREEN (CEO)
(336) 763-7287
Entity
Organization
Contact information
Practice address
4501 OLD BATTLEGROUND RD, GREENSBORO, NC 27410-9352
(910) 483-0324
Mailing address
PO BOX 38338, GREENSBORO, NC 27408-8338
(336) 763-7287
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008846
—
NC
Enumeration date
01/30/2012
Last updated
12/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers