NPI | 1033263694 |
---|---|
Other Name | CHRYSALIS |
Entity Type | Organization |
Authorized Contact | PATRICIA KLAHR Executive Director 602-955-9059 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: AZ BH4093) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2012-11-21 |