Organization
CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE INC
Active
Other names
Chrysalis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA KLAHR BSW (EXECUTIVE DIRECTOR)
(602) 955-9059
Entity
Organization
Contact information
Practice address
2055 WEST NORTHERN AVENUE, PHOENIX, AZ 85021-5157
(602) 955-9059
(602) 955-0165
Mailing address
2055 WEST NORTHERN AVENUE, PHOENIX, AZ 85021-5157
(602) 955-9059
(602) 955-0165
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
BH4093
AZ
Other
Enumeration date
01/22/2007
Last updated
11/21/2012
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