An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X | |||
Community/Behavioral Health |
251S00000X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1184072647 |
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| LBN Legal business name | CHARTWELL CONSORTIUM | ||||
| Authorized official | NICOLE LASSERRE - (CLINICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/25/2016 | ||||
| Last updated | 08/21/2019 - About 7 years ago | ||||
| Identifiers |
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CHARTWELL CONSORTIUM
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