310 Avenue INC

NPI #1508288754 in Hays, Kansas

Provider Information

NPI Number: 1508288754
Entity Type: Organization
Organization Name: 310 Avenue INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 7, 2014
Last Updated: Jan 7, 2014

Practice Location

Address: 1012 E US HIGHWAY 40 BYP
City: Hays
State: Kansas
ZIP Code: 67601-3961
Phone: (785) 623-7470

Authorized Official

Name: MR. JAMES L WARREN
Title: OWNER
Phone: (785) 623-7470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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