# ELITE ADOLESCENT CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** YouthSpring Residential Treatment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235401811
- **Authorized official:** MR. AVERY B. GREEN (CEO)
- **Authorized official phone:** (336) 763-7287

## Contact information

- **Practice address:** 4501 OLD BATTLEGROUND RD, GREENSBORO, NC 27410-9352
- **Practice address phone:** (910) 483-0324
- **Mailing address:** PO BOX 38338, GREENSBORO, NC 27408-8338
- **Mailing address phone:** (336) 763-7287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2012
- **Last updated:** 12/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6008846 | — | NC |