Organization
CHRYSALIS AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOBEN F. PRESLER BCABA (PRESIDENT)
(803) 367-2261
Entity
Organization
Contact information
Practice address
410 OAKLAND AVE STE 101, ROCK HILL, SC 29730
(803) 792-0771
(803) 656-0764
Mailing address
1547 CHERRY RD, ROCK HILL, SC 29732-2616
(803) 792-0771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0-04-1396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXG309
—
SC
Enumeration date
06/25/2008
Last updated
08/28/2018
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