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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