Chrysalis

NPI #1134304926 in Eureka, Montana

Provider Information

NPI Number
1134304926
Entity Type
Organization
Organization Name
Chrysalis
Primary Specialty
Specialist
Enumeration Date
Dec 31, 2007
Last Updated
Dec 31, 2007

Practice Location

Address
57 TRAILS END RD
City
Eureka
State
Montana
ZIP Code
59917-9332
Phone
(406) 889-5577

Authorized Official

Name
MR. KENNY PANNELL, LCPC
Title
VICE PRESIDENT
Phone
(406) 889-5577

Specialties & Taxonomy Codes

Specialty
Community Health Worker
Specialist

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