Organization
CHRYSALIS INC
Active
Other names
Chrysalis
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI K JOHNSON (CEO)
(208) 770-2770
Entity
Organization
Contact information
Practice address
280 W PRAIRIE AVE STE 3, COEUR D ALENE, ID 83815-9401
(208) 707-2770
(208) 770-2771
Mailing address
280 W PRAIRIE AVE STE 3, COEUR D ALENE, ID 83815-9401
(208) 707-2770
(208) 770-2771
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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