| NPI | 1770921868 |
|---|---|
| Other Name | CHRYSALIS |
| Entity Type | Organization |
| Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2025-04-18 |