| NPI | 1992074512 |
|---|---|
| Doing Business As | VALLEY HEALTH SOUTHSIDE YOUTH HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD WEINBERGER Chief Financial Officer 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 19653) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2013-12-03 |