Organization
THE CHRYSALIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL MENENDEZ (EXECUTIVE DIRECTOR)
(954) 587-1008
Entity
Organization
Contact information
Practice address
3521 W BROWARD BLVD, FORT LAUDERDALE, FL 33312-1048
(954) 587-1008
Mailing address
3521 W BROWARD BLVD, FORT LAUDERDALE, FL 33312-1048
(954) 587-1008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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