Spring Valley Regional Center for Youth, Inc.

NPI #1376791335 in Baxter Springs, Kansas

Provider Information

NPI Number: 1376791335
Entity Type: Organization
Organization Name: Spring Valley Regional Center for Youth, Inc.
Primary Specialty: Private Vehicle
Enumeration Date: Sep 3, 2008
Last Updated: Sep 3, 2008

Practice Location

Address: 217 E 14TH ST
City: Baxter Springs
State: Kansas
ZIP Code: 66713-1804
Phone: (620) 762-2212

Authorized Official

Name: MR. BRAD BOLIN, BS
Title: PRESIDENT
Phone: (620) 762-2212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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