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Organization

CHRYSALIS HOUSE, INC.

Active
Parent organization
CHRYSALIS HOUSE, INC.
Other names
Chrysalis House Healthy Start
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHRYSALIS HOUSE, INC.
Authorized official
MS. DEBRA LYNNE TRIBBLE (PROGRAM DIRECTOR)
(410) 483-8870
Entity
Organization

Contact information

Practice address
4500 PARK HEIGHTS AVENUE, BALTIMORE, MD 21215
(410) 483-8870
(410) 483-8871
Mailing address
4500 PARK HEIGHTS AVENUE, BALTIMORE, MD 21215
(410) 483-8870
(410) 483-8871

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MD

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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