NPI 1376791335

Spring Valley Regional Center for Youth, INC.

Organisation Private Vehicle Baxter Springs, KS

Practice location

Address: 217 E 14th St, Baxter Springs, KS 66713-1804
Phone: (620) 762-2212
Mailing address: PO Box 662, Baxter Springs, KS 66713-0662

Authorised official

Name: Brad Bolin
Title: President
Phone: (620) 762-2212

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence MC-646-227-C (KS)

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Registry record

NPI: 1376791335
Entity type: Organization
NPI issued: 3 Sep 2008
Record last updated: 3 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.