Organization
CHRYSALIS HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MCCABE (EXECUTIVE DIRECTOR)
(410) 974-6829
Entity
Organization
Contact information
Practice address
4207 FREDERICK AVE, BALTIMORE, MD 21229-4101
(410) 974-6829
Mailing address
1570 CROWNSVILLE RD, CROWNSVILLE, MD 21032-2306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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