NPI 1083852511

Excalibur Youth Services, LLC.

Organisation Psychiatric Residential Treatment Facility Simpsonville, SC

Practice location

Address: 3683 S. Industrial Dr., Simpsonville, SC 29681
Phone: (864) 688-1133
Fax: (864) 962-6976
Mailing address: PO Box 18346, Palatine, IL 60055-0968

Authorised official

Name: Isabelle Williams
Title: Manager, Revenue Cycle
Phone: (919) 703-2829

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence RTF-0022 (SC)

Other Psychiatric Residential Treatment Facility providers in South Carolina →

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI: 1083852511
Entity type: Organization
NPI issued: 21 Jan 2009
Record last updated: 22 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.