Organization · Type 2 NPI

Excalibur Youth Services, Llc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Greenville, SC

NPI number 1710063375 Active

Practice location

5321 Old Buncombe Rd
Greenville, SC 29609-0910

Call (864) 679-0023 Map

Fax (864) 294-1774

Mailing address

PO Box 968
Marietta, SC 29661-0968

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XSR-0009711001-CCI (SC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1710063375

Excalibur Youth Services, Llc.'s National Provider Identifier is 1710063375, issued on Oct 27, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Greenville, SC. The record was last updated on Mar 11, 2008.