| NPI | 1255631404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD FRIEND Owner/Chiropractic Physician 304-789-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 690) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |