NPI | 1841555166 |
---|---|
Doing Business As | CHRYSALIS IN KENT AT ACFMW |
Entity Type | Organization |
Authorized Contact | LAUREN ELIZABETH TINSLEY President 302-674-1397 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: DE 2008206138) |
251S00000X (Licence: DE 2008206138) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2012-07-12 |
Last Update Date | 2021-07-27 |