Organization
EXCALIBUR YOUTH SERVICES, LLC.
Active
Other names
Azalea Way
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN JOHN SHORT III JD (MEMBER)
(864) 313-6967
Entity
Organization
Contact information
Practice address
145 AZALEA WAY, HENDERSONVILLE, NC 28792-2409
(864) 836-7220
(864) 294-1774
Mailing address
PO BOX 968, TRAVELERS REST, SC 29690-0968
(864) 836-7220
(864) 294-1774
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL045-119
NC
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us