Innerchange Chrysalis, LLC

NPI #1770921868 in Eureka, Montana

Provider Information

NPI Number
1770921868
Entity Type
Organization
Organization Name
Innerchange Chrysalis, LLC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jun 11, 2013
Last Updated
Apr 18, 2025

Practice Location

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

Authorized Official

Name
SHARNELL SPENCER
Title
CREDENTIALING MANAGER
Phone
(661) 239-6923

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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