| Organization Name: | CHAMELEON HEALTH CARE INC |
| NPI Number: | 1134200769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MORRELLO (PRESIDENT) |
| Mailing Address: | 846 Northside Drive Suite 15 Summersville |
| State: | WV US |
| Postal Code: | 266512028 |
| Phone Number: | 3048728995 |
| Fax Number: | 3048728997 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 12/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |