Organization
CHRYSALIS INC
Active
Other names
Chrysalis
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI KAE JOHNSON (CEO)
(208) 660-5737
Entity
Organization
Contact information
Practice address
280 W PRAIRIE AVE STE 3, COEUR D ALENE, ID 83815-9401
(208) 660-5737
Mailing address
280 W PRAIRIE AVE STE 3, COEUR D ALENE, ID 83815-9401
(208) 660-5737
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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