Organization
INNERCHANGE CHRYSALIS, LLC
Active
Other names
Chrysalis
Organization subpart
No
Provider details
NPI number
Authorized official
SHARNELL SPENCER (CREDENTIALING MANAGER)
(661) 239-6923
Entity
Organization
Contact information
Practice address
77 TRAILS END RD, EUREKA, MT 59917-9332
(406) 889-5577
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(661) 622-4132
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
04/18/2025
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