| NPI | 1801668801 |
|---|---|
| Doing Business As | CHRYSALIS |
| Entity Type | Organization |
| Authorized Contact | TERRI KAE JOHNSON CEO 208-707-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |