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Excalibur Youth Services, LLC. — NPI 1083852511, Simpsonville, SC | NPI Central

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NPI 1083852511

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Excalibur Youth Services, LLC.

NPI 1083852511 · Psychiatric Residential Treatment Facility · Simpsonville, SC

Provider details

NPI number: 1083852511
Entity type: Organization
Primary specialty: Psychiatric Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Isabelle Williams, Manager, Revenue Cycle(919) 703-2829

Specialties & taxonomies

Psychiatric Residential Treatment FacilityPrimary323P00000XLicense RTF-0022 (SC)
Residential Treatment Facilities
Psychiatric Residential Treatment Facility323P00000X
Residential Treatment Facilities

Practice location

3683 S. Industrial Dr.

Simpsonville, SC 29681

Phone: (864) 688-1133

Fax: (864) 962-6976

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

Po Box 18346

Palatine, IL 60055-0968

Other names (DBA / former)

Doing business as: Broadstep Academy-Sc Inc
Doing business as: Venice Psychiatric Residential Treatment Facility
Doing business as: Venice Psychiatric Residential Treatment Facility

Additional practice locations (2)

1370 N Williamsburg County Hwy
Kingstree, SC 29556-7027
Phone: (864) 836-7220
404 Hampton Ave
Pickens, SC 29671-2608
Phone: (864) 679-0023
Fax: (864) 294-1774

Registry dates

Enumerated: 2009-01-21
Last updated: 2023-08-22
Certified: 2023-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.