Organization
THE CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC.-HOPE MEADOW PROGRAM
Active
Parent organization
THE CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC.
Other names
Family Wellness and Recovery Services of NC, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC.
Authorized official
MS. JEAN THERESE SUTTER MSW (EXECUTIVE DIRECTOR)
(919) 933-0770
Entity
Organization
Contact information
Practice address
263 PENNY LN, PITTSBORO, NC 27312-4918
(919) 968-8680
(919) 968-9970
Mailing address
101 E WEAVER ST, STE. G-7, CARRBORO, NC 27510-2370
(919) 933-0770
(919) 933-0767
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL-019017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000789
—
NC
05
—
6005680
—
NC
05
—
6103305
—
NC
05
—
6106030
—
NC
05
—
6110548
—
NC
05
—
8300816
—
NC
05
—
8300816B
—
NC
05
—
8300816G
—
NC
05
—
8300816P
—
NC
05
—
8302193
—
NC
05
—
8302193B
—
NC
05
—
8302193G
—
NC
05
—
8302193P
—
NC
Enumeration date
08/16/2006
Last updated
08/12/2008
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