Organization
ELITE ADOLESCENT CARE, INC.
Active
Other names
YouthSpring Residential Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. CAMPI (EXECUTIVE DIRECTOR)
(843) 729-6072
Entity
Organization
Contact information
Practice address
4501 OLD BATTLEGROUND RD, GREENSBORO, NC 27410-9352
(336) 763-7287
Mailing address
PO BOX 38338, GREENSBORO, NC 27408-8338
(336) 763-7287
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-041-1082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008846
—
NC
Enumeration date
11/25/2015
Last updated
05/06/2016
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