| NPI | 1003173972 |
|---|---|
| Former Legal Business Name | PATRICIA CHANTERELLE, D.C. |
| Entity Type | Organization |
| Authorized Contact | PATRICIA CHANTERELLE President 207-846-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: ME CR601) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-07-10 |