Chrysalis Utah, LLC

NPI #1891898045 in Orem, Utah

Provider Information

NPI Number: 1891898045
Entity Type: Organization
Organization Name: Chrysalis Utah, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 6, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1443 W 800 N
Address 2: SUITE 103
City: Orem
State: Utah
ZIP Code: 84057-2875
Phone: (801) 655-4950

Authorized Official

Name: MARC ROBERT CHRISTENSEN, MMHC
Title: CHIEF OPERATIONS OFFICER
Phone: (801) 655-4950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Analyst	103K00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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