Spring Valley Regional Center for Youth, Inc.

Organization Active NPI Private Vehicle · Baxter Springs, KS

NPI 1376791335 · NPPES record last updated Sep 3, 2008

Key facts

NPI
1376791335
Entity type
Organization (NPI type 2)
Primary specialty
Private Vehicle 347C00000X
License
MC-646-227-C (KS)
Legal business name
SPRING VALLEY REGIONAL CENTER FOR YOUTH, INC.
Practice address
217 E 14TH St
Baxter Springs, KS 66713-1804
Phone
(620) 762-2212
NPI assigned
Sep 3, 2008
Organization subpart
No

Authorized official

Name
Mr. Brad Bolin, BS
Title
President
Phone
(620) 762-2212

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X MC-646-227-C KS Yes

Addresses

Primary practice location

217 E 14TH St
Baxter Springs, KS 66713-1804

Mailing address

PO Box 662
Baxter Springs, KS 66713-0662
Phone (620) 856-2212

Other providers in Baxter Springs, KS

All providers in Baxter Springs, KS · Private Vehicle in Kansas

Sources for this page

Verify at the official NPI Registry.