Organization
CHRYSALIS
Active
Parent organization
INNERCHANGE CHRYSALIS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNERCHANGE CHRYSALIS, LLC
Authorized official
SHARNELL SPENCER (CREDENTIALING MANAGER)
(661) 239-6923
Entity
Organization
Contact information
Practice address
205 5TH AVE E, KALISPELL, MT 59901-4544
(406) 889-5577
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(406) 889-5577
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
04/18/2025
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