Organization
CHRYSALIS RISING PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAGE LAUER MFT (DIRECTOR)
(858) 353-5378
Entity
Organization
Contact information
Practice address
740 LOMAS SANTA FE DR STE 205, SOLANA BEACH, CA 92075-1441
(858) 353-5378
(858) 876-1863
Mailing address
740 LOMAS SANTA FE DR STE 205, SOLANA BEACH, CA 92075-1441
(858) 353-5378
(858) 876-1863
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC 40096
CA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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