Organization
CHRYSALIS CENTER FOR FAMILY GROWTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH HIGGINS LPC, NCC (MEMBER, THERAPIST)
(970) 223-2054
Entity
Organization
Contact information
Practice address
109 CAMERON DR BLDG A, FORT COLLINS, CO 80525-3961
(970) 223-2054
(970) 223-5074
Mailing address
109 CAMERON DR BLDG A, FORT COLLINS, CO 80525-3961
(970) 223-2054
(970) 223-5074
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5217
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5217
LICENSE NUMBER
CO
Enumeration date
07/01/2009
Last updated
07/01/2009
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