| NPI | 1891317004 |
|---|---|
| Former Legal Business Name | CHRYSALIS FEEDING |
| Entity Type | Organization |
| Authorized Contact | ZACHARY HENNING Chief Operating Officer 864-383-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-05-07 |