Organization
CHRYSALIS HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J. MCCABE MBA (EXECUTIVE DIRECTOR)
(410) 974-6829
Entity
Organization
Contact information
Practice address
1570 CROWNSVILLE RD, CROWNSVILLE, MD 21032-2306
(410) 974-6829
Mailing address
1570 CROWNSVILLE RD, CROWNSVILLE, MD 21032-2306
(410) 974-6829
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0020092269
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386094803
—
MD
Enumeration date
06/19/2017
Last updated
06/19/2017
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