| NPI | 1972627461 |
|---|---|
| Doing Business As | TRIAD WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTIN STITES Provider 818-285-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |