Organization
CHRYSALIS COMMUNITY HEALTH CENTER, P.A.
Active
Organization
CHRYSALIS COMMUNITY HEALTH CENTER, P.A.
Active
Other names
CHRYSALIS COMMUNITY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MARY CADORETTE M.D. (PRESIDENT)
(603) 924-0804
Entity
Organization
Contact information
Practice address
45 MAIN ST, PETERBOROUGH, NH 03458-2433
(603) 924-0804
Mailing address
45 MAIN ST, PETERBOROUGH, NH 03458-2433
(603) 924-0804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133N00000X
Nutritionist
—
—
174400000X
Specialist
—
—
175F00000X
Naturopath
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
9183
NH
225700000X
Massage Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659322238
NPI
—
Enumeration date
11/27/2017
Last updated
11/27/2017
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