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Contact Information

CHRYSALIS HOUSE, INC.
4500 PARK HEIGHTS AVENUE
BALTIMORE, MD21215
 Phone: 410-483-8870
 Fax: 410-483-8871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for CHRYSALIS HOUSE, INC.

NPI # 1518347616
LBN Legal business name CHRYSALIS HOUSE, INC.
Authorized official DEBRA TRIBBLE - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/03/2015
Last updated 06/03/2015 - About 11 years ago
Identifiers n/a
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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