EXCALIBUR YOUTH SERVICES, LLC. is a residential treatment facility emotionally disturbed children in Greenville, SC. The provider is 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. EXCALIBUR YOUTH SERVICES, LLC. NPI is 1710063375. The provider is registered as an organization entity type.
The provider's business location address is:
5321 OLD BUNCOMBE RD
GREENVILLE, SC
ZIP 29609-910
Phone: (864) 679-0023
Fax: (864) 294-1774
The provider's authorized official is Marvin J. Short .
The authorized official title is Member and has the following contact phone number (864) 679-0023.
The enumeration date for this NPI number is 10/27/2006 and was last updated on 3/11/2008.