Organization
CHRYSALIZE, LLC
Active
Organization
CHRYSALIZE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLINT MILLER (OWNER)
(319) 888-0057
Entity
Organization
Contact information
Practice address
215 HIGHWAY 965 NE STE 2, NORTH LIBERTY, IA 52317-9091
(319) 888-0057
Mailing address
120 S FRONT ST, NORTH LIBERTY, IA 52317-9702
(319) 888-0057
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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