NPI | 1780451112 |
---|---|
Doing Business As | VALLEY HEALTH SC PEDS - CHARLESTON STE 110 |
Entity Type | Organization |
Authorized Contact | MARY-BETH N. BRUBECK Chief Financial Officer 304-525-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-12-06 |
Last Update Date | 2023-12-06 |