| NPI | 1609991090 |
|---|---|
| Doing Business As | IHCPI TEAYS VALLEY |
| Entity Type | Organization |
| Authorized Contact | JEFF GOODE Exec Director 304-388-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |