NPI | 1629254024 |
---|---|
Doing Business As | CHRYSALIS |
Entity Type | Organization |
Authorized Contact | MARK CLOUTIER Executive Director 510-582-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2008-01-15 |
Last Update Date | 2017-09-26 |