NPI | 1891898045 |
---|---|
Other Name | CHRYSALIS |
Entity Type | Organization |
Authorized Contact | MARC ROBERT CHRISTENSEN Chief Operations Officer 801-655-4950 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2022-07-21 |