| NPI | 1528307683 |
|---|---|
| Doing Business As | FSRG |
| Entity Type | Organization |
| Authorized Contact | MIKAELA I. POLING Secretary 304-460-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |