Organization
CHRYSALIS ENTERPRISES, INC.
Active
Other names
Chrysalis
Organization subpart
No
Provider details
NPI number
Authorized official
MARC ROBERT CHRISTENSEN MMHC (CHIEF OPERATIONS OFFICER)
(801) 805-1640
Entity
Organization
Contact information
Practice address
223 W 520 N, OREM, UT 84057-4696
(801) 805-1640
(801) 805-6733
Mailing address
223 W 520 N, OREM, UT 84057-4696
(801) 805-1640
(801) 805-6733
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
UT
Other
Enumeration date
09/19/2006
Last updated
07/21/2022
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