Organization
CHRYSALIS COUNSELING SERVICES LLC
Active
Organization
CHRYSALIS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS M JIMENEZ (MEMBER)
(480) 789-1098
Entity
Organization
Contact information
Practice address
3502 W CINNABAR AVE, PHOENIX, AZ 85051-1256
(480) 789-1098
Mailing address
7800 N 55TH AVE STE 102-176, GLENDALE, AZ 85301-1321
(480) 789-1098
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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