Chrysalis School

NPI #1811176092 in Eureka, Montana

Provider Information

NPI Number: 1811176092
Entity Type: Organization
Organization Name: Chrysalis School
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Oct 24, 2007
Last Updated: Oct 24, 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: CO-OWNER
Phone: (406) 889-5575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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