Organization
CHRYSALIS ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A WATSON LPCC (MEMBER)
(505) 323-4447
Entity
Organization
Contact information
Practice address
11930 MENAUL BLVD NE STE 225C, ALBUQUERQUE, NM 87112-2465
(505) 323-4447
(505) 323-5075
Mailing address
11930 MENAUL BLVD NE, SUITE #225C, ALBUQUERQUE, NM 87048
(505) 323-4447
(505) 323-5075
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
005683
NM
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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