Organization
CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE INC
Active
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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