Chrysalis Nevada, Inc.

NPI #1285738476 in Orem, Utah

Provider Information

NPI Number: 1285738476
Entity Type: Organization
Organization Name: Chrysalis Nevada, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 11, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 223 W 520 N
City: Orem
State: Utah
ZIP Code: 84057-4696
Phone: (801) 805-1640

Authorized Official

Name: MARC ROBERT CHRISTENSEN, MMHC
Title: CHIEF OPERATIONS OFFICER
Phone: (801) 805-1640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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