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ELITE ADOLESCENT CARE INC. NPI 1235401811


NPI Information

NPI: 1235401811
Provider Name: ELITE ADOLESCENT CARE, INC.

Doing Business As: YOUTHSPRING RESIDENTIAL TREATMENT

Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization
Address:
4501 OLD BATTLEGROUND RD
GREENSBORO, NC
ZIP 27410
Phone: (910) 483-0324
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ELITE ADOLESCENT CARE, INC. 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 ELITE ADOLESCENT CARE, INC. NPI is 1235401811. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Youthspring Residential Treatment.

The provider's business location address is:

4501 OLD BATTLEGROUND RD
GREENSBORO, NC
ZIP 27410-352
Phone: (910) 483-0324

The provider's authorized official is Avery B. Green .
The authorized official title is Ceo and has the following contact phone number (336) 763-7287.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 12/16/2015.


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
1101YM0800XCounselorMental HealthNo
2103TC2200XPsychologistClinical Child & AdolescentNo
3103TB0200XPsychologistCognitive & BehavioralNo
4104100000XSocial WorkerNo
5101YS0200XCounselorSchoolNo
6103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
71041S0200XSocial WorkerSchoolNo
8251S00000XCommunity/Behavioral HealthNo
9323P00000XPsychiatric 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
16008846MEDICAIDNORTH CAROLINA

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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