Excalibur Youth Services, Llc.

NPI 1083852511 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1083852511
Enumeration Date 01/21/2009
Last Updated 01/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN M. JOHN
Position MEMBER
Phone (864) 688-1133
Fax (864) 962-6976
Practice Location
3683 S. INDUSTRIAL DR.
SIMPSONVILLE SC, 29681, US
Phone (864) 688-1133
Fax (864) 962-6976
Business Location
PO BOX 968
TRAVELERS REST SC, 29690-0968, US
Phone (864) 679-0023
Fax (864) 294-1774
Toxanomy
Taxonomy Code 323P00000X
License State South Carolina
License Number RTF-0022
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According to our database, Excalibur Youth Services, Llc. NPI is 1083852511, taxonomy code is 323P00000X and license number is RTF-0022, license state is located at South Carolina. Excalibur Youth Services, Llc. physically located at 3683 S. Industrial Dr., Simpsonville SC, 29681. NPI Number 1033115704 has the healthcare provider type.

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1083852511 NPI number is provided on an as is basis without warranty of any kind. 1083852511 is maintained by the National Plan & Provider Enumeration System. The contents of Excalibur Youth Services, Llc. are for informational purposes only.