Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Excalibur Youth Services, LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1073032470

Excalibur Youth Services, LLC is a Mental Illness Community Based Residential Treatment Facility in Hendersonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

145 Azalea Way
Hendersonville, NC 28792-2409
Phone: (864) 836-7220
Fax: (864) 294-1774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence MHL045-119 (NC)

Record details

NPI number1073032470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Short — Member · (864) 313-6967
Other names Azalea Way
NPI enumeratedSeptember 18, 2017
Last updated in NPPESSeptember 18, 2017
Mailing addressPo Box 968, Travelers Rest, SC 29690-0968

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