| NPI | 1093375222 |
|---|---|
| Doing Business As | VALLEY HEALTH PROACT CHARLESTON |
| Entity Type | Organization |
| Authorized Contact | MARY-BETH BRUBECK CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |