Organization
CHRYSALIS CENTER INC
Active
Organization
CHRYSALIS CENTER INC
Active
Other names
Chrysalis Health
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANN PRISCO LMHC (VP CONTRACTS AND PAYOR RELATIONS)
(772) 214-1010
Entity
Organization
Contact information
Practice address
3521 W BROWARD BLVD, LAUDERHILL, FL 33312-1048
(954) 587-1008
Mailing address
3800 W BROWARD BLVD STE 100, FT LAUDERDALE, FL 33312-1018
(954) 587-1008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MH 7951
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075982100
—
FL
Enumeration date
08/12/2010
Last updated
09/27/2021
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