Organization
CHRYSALIS HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENE LAKE (EXECUTIVE DIRECTOR)
(410) 974-6829
Entity
Organization
Contact information
Practice address
1570 CROWNSVILLE RD, CROWNSVILLE, MD 21032-2306
(410) 974-6829
(410) 974-6350
Mailing address
1570 CROWNSVILLE RD, CROWNSVILLE, MD 21032-2306
(410) 974-6829
(410) 974-6350
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
14717
MD
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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