NPI | 1467055467 |
---|---|
Doing Business As | CHRYSALIS CENTER |
Entity Type | Organization |
Authorized Contact | ZANE DODD CEO/ Director, Clinical Services 817-416-8970 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2020-11-20 |
Last Update Date | 2020-11-20 |