Organization
INNERCHANGE CHRYSALIS, LLC
Active
Parent organization
INNERCHANGE CHRYSALIS, LLC
Other names
Chrysalis
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNERCHANGE CHRYSALIS, LLC
Authorized official
SHARNELL SPENCER (CREDENTIALING MANAGER)
(661) 239-6923
Entity
Organization
Contact information
Practice address
130 DEANNA TRACTS RD, EUREKA, MT 59917-9039
(406) 889-5577
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
04/18/2025
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