NPI | 1285738476 |
---|---|
Other Name | CHRYSALIS |
Entity Type | Organization |
Authorized Contact | MARC ROBERT CHRISTENSEN Chief Operations Officer 801-805-1640 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2006-09-11 |
Last Update Date | 2022-07-21 |