# BRAINCHILD NEUROBEHAVIORALTREATMENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144454398
- **Authorized official:** DR. BRADLEY R RALSTON DC (OWNER)
- **Authorized official phone:** (317) 848-6000

## Contact information

- **Practice address:** 9302 N MERIDIAN ST, STE 170-A, INDIANAPOLIS, IN 46260-1873
- **Practice address phone:** (317) 848-6000
- **Practice address fax:** (317) 848-6011
- **Mailing address:** 9302 N MERIDIAN ST, STE 170-A, INDIANAPOLIS, IN 46260-1873
- **Mailing address phone:** (317) 848-6000
- **Mailing address fax:** (317) 848-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 08001899A | IN | — |
| 111NN0400X | Neurology Chiropractor | 08001899A | IN | Yes |

## Other

- **Enumeration date:** 05/03/2009
- **Last updated:** 05/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08001899A | LICENSE | IN |