CHRYSALLIS, INC.; NPI #1306095617

Contact Information

CHRYSALLIS, INC.

6495 NEW HAMPSHIRE AVE
SUITE 303
HYATTSVILLE, MD 20783-3245

Phone: 301-853-6754
Fax: 301-853-6756
Website:

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

Indicates primary specialty

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NPI Profile & details for CHRYSALLIS, INC.

NPI Number 1306095617

LBN Legal business name CHRYSALLIS, INC.

Authorized official ILENE WILSON - (PRESIDENT/ CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/10/2008

Last updated 09/10/2008 - About 18 years ago

Identifiers

Medicaid

039289400

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHRYSALLIS, INC.

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for CHRYSALLIS, INC.

Reviews for CHRYSALLIS, INC.