Individual provider · Type 1 NPI

Chanta Wellington

Developmental Disabilities Clinic/Center · Maumee, OH

NPI number 1235849217 Active

Practice location

1915 Middlesbrough Ct Apt 1
Maumee, OH 43537-2264

Other practice locations

  • 1915 Middlesbrough Ct Apt 1, Maumee, OH 43537-2264 · (469) 858-1870

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: 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.).

About NPI 1235849217

Chanta Wellington's National Provider Identifier is 1235849217, issued on Nov 30, 2022. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Maumee, OH. The record was last updated on Nov 30, 2022.