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Excalibur Youth Services, Llc.
Psychiatric Residential Treatment Facility in Simpsonville, South Carolina
NPI 1083852511

Excalibur Youth Services, Llc. is a Psychiatric Residential Treatment Facility based in Palatine, SC. Excalibur Youth Services, Llc. practices in Simpsonville, SC. The NPI Number for Excalibur Youth Services, Llc. is 1083852511 and holds a License No. RTF-0022 (South Carolina).

The current practice location address for Excalibur Youth Services, Llc. is 3683 S. Industrial Dr., Simpsonville, SC and can be reached out via phone at 864-688-1133 and via fax at 864-962-6976. You can also correspond with Excalibur Youth Services, Llc. through the mailing address at PO BOX 18346, PALATINE, IL - 60055-0968 (mailing address contact number: 919-703-2829).

Location: 3683 S. Industrial Dr., Simpsonville, SC, 60055-0968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083852511
Provider Name
Excalibur Youth Services, Llc.
Credential
Provider Entity Type
Organization
Address
3683 S. Industrial Dr., Simpsonville, SC, 60055-0968
Phone Number
864-688-1133
Fax Number
864-962-6976
Provider Enumeration Date
01/21/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RTF-0022 01 SC SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENT CONTROL
RTF055 05 SC
institution
Provider Business Practice Location Address Details
Address
3683 S. Industrial Dr.
City
Simpsonville
State
South Carolina
Zip
29681
Phone Number
864-688-1133
Fax Number
864-962-6976
person
Provider Business Mailing Address Details
Address
3683 S. Industrial Dr.
City
Simpsonville
State
South Carolina
Zip
29681
Phone Number
864-688-1133
Fax Number
864-962-6976
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
RTF-0022 (South Carolina)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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