Organization
CHRYSALLIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILENE TONDELAYO WILSON RN BSN (PRESIDENT/ CEO)
(301) 853-6754
Entity
Organization
Contact information
Practice address
6495 NEW HAMPSHIRE AVE, SUITE 303, HYATTSVILLE, MD 20783-3245
(301) 853-6754
(301) 853-6756
Mailing address
6495 NEW HAMPSHIRE AVE, SUITE 303, HYATTSVILLE, MD 20783-3245
(301) 853-6754
(301) 853-6756
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039289400
—
DC
Enumeration date
09/10/2008
Last updated
09/10/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up