Organization
CHRYSALIS-NEVADA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN M GILES LCSW (CHEIF COMPLIANCE OFFICER)
(702) 812-2444
Entity
Organization
Contact information
Practice address
5595 EQUITY AVE, SUITE 400, RENO, NV 89502-2589
(775) 322-6061
Mailing address
1443 W 800 N, SUITE 103, OREM, UT 84057-2875
(855) 219-7136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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