Organization
CHRYSALIS TEXAS
Active
Parent organization
CHRYSALIS UTAH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRYSALIS UTAH
Authorized official
MARC R CHRISTENSEN (PRESIDENT)
(801) 360-4672
Entity
Organization
Contact information
Practice address
531 E 770 N, OREM, UT 84097-4102
(801) 655-4950
(801) 655-4954
Mailing address
531 E 770 N, OREM, UT 84097-4102
(801) 655-4950
(801) 655-4954
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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