Youthspring Residential Treatment

LBN: Elite Adolescent Care, Inc.
Youthspring Residential Treatment is an health care organization with primary practice located at 4501 Old Battleground Rd , Greensboro NC 27410-9352. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Social Worker, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Elite Adolescent Care, Inc. can be contacted via phone (910) 483-0324, or through Green, Avery B. via phone (336) 763-7287.

Contact Information

Primary practice address
4501 Old Battleground Rd Greensboro NC 27410-9352
Phone: (910) 483-0324
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Avery B.
Phone: (336) 763-7287

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / School 1041S0200X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1235401811
LBN Legal business name Elite Adolescent Care, Inc.
DBA Doing business as Youthspring Residential Treatment
Authorized official Green, Avery B.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2012
Last updated Dec 16th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235401811 NPPES
North Carolina MEDICAID 6008846

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