Organization
INNERCHANGE CHRYSALIS, LLC
Active
Parent organization
INNERCHANGE CHRYSALIS, LLC
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
77 TRAILS END RD, EUREKA, MT 59917-9332
(406) 889-5577
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
04/18/2025
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