Organization
BRAINCHILD NEUROBEHAVIORALTREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R RALSTON DC (OWNER)
(317) 848-6000
Entity
Organization
Contact information
Practice address
9302 N MERIDIAN ST, STE 170-A, INDIANAPOLIS, IN 46260-1873
(317) 848-6000
(317) 848-6011
Mailing address
9302 N MERIDIAN ST, STE 170-A, INDIANAPOLIS, IN 46260-1873
(317) 848-6000
(317) 848-6011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001899A
IN
111NN0400X
Neurology Chiropractor
Primary
08001899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08001899A
LICENSE
IN
Enumeration date
05/03/2009
Last updated
05/03/2009
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