1710063375 EXCALIBUR YOUTH SERVICES, LLC.

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
EXCALIBUR YOUTH SERVICES, LLC.
Enumeration Date
October 27, 2006
Last Update
March 11, 2008
Authorized Official
MR. MARVIN J. SHORT III
MEMBER
Phone: (864) 679-0023

Practice Location

Address
5321 OLD BUNCOMBE RD
GREENVILLE, SC 296090910
Phone
(864) 679-0023
Fax
(864) 294-1774

Mailing Address

Address
PO BOX 968
MARIETTA, SC 296610968
Phone
(864) 679-0023
Fax
(864) 294-1774

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Illness Community Based Residential Treatment Facility
320800000X Community Based Residential Treatment Facility, Mental Illness N/A N/A No
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children SR-0009711001-CCI SC Primary

Other Identifiers

Identifier Type State Issuer
907MXH 05 SC N/A

Frequently Asked Questions

What is EXCALIBUR YOUTH SERVICES, LLC.'s NPI number?
EXCALIBUR YOUTH SERVICES, LLC.'s NPI number is 1710063375.
Which doctor has NPI number 1710063375?
The doctor with NPI number 1710063375 is EXCALIBUR YOUTH SERVICES, LLC..
What is EXCALIBUR YOUTH SERVICES, LLC.'s practice address?
EXCALIBUR YOUTH SERVICES, LLC.'s practice address is 5321 OLD BUNCOMBE RD, GREENVILLE, SC, 296090910.
Which doctor practices at 5321 OLD BUNCOMBE RD, GREENVILLE, SC, 296090910?
EXCALIBUR YOUTH SERVICES, LLC. practices at 5321 OLD BUNCOMBE RD, GREENVILLE, SC, 296090910.
What is EXCALIBUR YOUTH SERVICES, LLC.'s mailing address?
EXCALIBUR YOUTH SERVICES, LLC.'s mailing address is PO BOX 968, MARIETTA, SC, 296610968.
What is EXCALIBUR YOUTH SERVICES, LLC.'s phone number?
EXCALIBUR YOUTH SERVICES, LLC.'s phone number is (864) 679-0023.
Who is (864) 679-0023?
(864) 679-0023 is the phone number for EXCALIBUR YOUTH SERVICES, LLC..
What is EXCALIBUR YOUTH SERVICES, LLC.'s specialty?
EXCALIBUR YOUTH SERVICES, LLC.'s specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is EXCALIBUR YOUTH SERVICES, LLC.?
EXCALIBUR YOUTH SERVICES, LLC. is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is EXCALIBUR YOUTH SERVICES, LLC. a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, EXCALIBUR YOUTH SERVICES, LLC. is a Residential Treatment Facility, Emotionally Disturbed Children.
Is EXCALIBUR YOUTH SERVICES, LLC. still practicing?
Yes, EXCALIBUR YOUTH SERVICES, LLC. is currently practicing.
Is EXCALIBUR YOUTH SERVICES, LLC. accepting new patients?
EXCALIBUR YOUTH SERVICES, LLC. may be accepting new patients. Please call their office at (864) 679-0023 to inquire about availability.
Is NPI 1710063375 still active?
Yes, NPI 1710063375 is currently active.
Where does EXCALIBUR YOUTH SERVICES, LLC. practice?
EXCALIBUR YOUTH SERVICES, LLC. practices in GREENVILLE, SC.