National Provider Identifier Database

CHRYSALIS HOUSE INC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

CHRYSALIS HOUSE, INC.
4500 PARK HEIGHTS AVENUE
BALTIMORE, MD21215
Phone: 410-483-8870
Fax: 410-483-8871
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for CHRYSALIS HOUSE, INC.

NPI Number 1518347616
Legal business name
LBN
CHRYSALIS HOUSE, INC.
Authorized official DEBRA TRIBBLE - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 06/03/2015
Last updated 06/03/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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