NPI | 1821071176 |
---|---|
Other Name | CHRYSALIS HOUSE INC. |
Entity Type | Organization |
Authorized Contact | LORENE LAKE Executive Director 410-974-6829 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 9217) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2020-08-22 |