Organization
CHRYSALIS HEALTH OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANN PRISCO (VP OF CONTRACTS)
(772) 216-3031
Entity
Organization
Contact information
Practice address
1524 SUNSET BLVD STE A, STEUBENVILLE, OH 43952-1380
(800) 691-6113
Mailing address
1524 SUNSET BLVD STE A, STEUBENVILLE, OH 43952-1380
(800) 691-6113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351215
—
OH
Enumeration date
07/05/2018
Last updated
04/23/2024
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