Organization
CHRYSALIS UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE YARGER BCBA (BEHAVIOR ANALYST)
(801) 404-6023
Entity
Organization
Contact information
Practice address
1443 W 800 N, OREM, UT 84057-2875
(801) 404-6023
Mailing address
1443 W 800 N, OREM, UT 84057-2875
(801) 404-6023
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AO1532
UT
Other
Enumeration date
08/08/2014
Last updated
05/28/2020
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