| Elite Adolescent Care, Inc. | |
|
4501 Old Battleground Rd Greensboro NC 27410-9352 | |
| (910) 483-0324 | |
| (910) 483-2246 |
| Full Name | Elite Adolescent Care, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4501 Old Battleground Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Barsheem Chapman (CEO) |
| Authorized Official Contact | 9104830324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Adolescent Care, Inc. 111 Lamon St Suite 103 Fayetteville NC 28301-4901 Ph: (910) 483-0324 | Elite Adolescent Care, Inc. 4501 Old Battleground Rd Greensboro NC 27410-9352 Ph: (910) 483-0324 |
| NPI Number | 1689000689 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 09/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689000689 | NPI | - | NPPES |
| 6008846 | Medicaid | NC |
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