1407077613 CHRYSALIS
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- CHRYSALIS
- Enumeration Date
- May 2, 2007
- Last Update
- August 22, 2020
- Authorized Official
- MRS. MARIBETH ALICE KNISLEY MSW
EXECUTIVE DIRECTOR
Phone: (734) 282-4630
Practice Location
- Address
- 12985 NORTHLINE RD STE 103
SOUTHGATE, MI 481951194 - Phone
- (734) 282-4630
- Fax
- (734) 282-4684
Mailing Address
- Address
- 12985 NORTHLINE RD STE 103
SOUTHGATE, MI 481951194 - Phone
- (734) 282-4630
- Fax
- (734) 282-4684
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Frequently Asked Questions
What is CHRYSALIS's NPI number?
CHRYSALIS's NPI number is 1407077613.
Which doctor has NPI number 1407077613?
The doctor with NPI number 1407077613 is CHRYSALIS.
What is CHRYSALIS's practice address?
CHRYSALIS's practice address is 12985 NORTHLINE RD STE 103, SOUTHGATE, MI, 481951194.
Which doctor practices at 12985 NORTHLINE RD STE 103, SOUTHGATE, MI, 481951194?
CHRYSALIS practices at 12985 NORTHLINE RD STE 103, SOUTHGATE, MI, 481951194.
What is CHRYSALIS's phone number?
CHRYSALIS's phone number is (734) 282-4630.
Who is (734) 282-4630?
(734) 282-4630 is the phone number for CHRYSALIS.
What is CHRYSALIS's specialty?
CHRYSALIS's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is CHRYSALIS?
CHRYSALIS is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is CHRYSALIS a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, CHRYSALIS is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is CHRYSALIS still practicing?
Yes, CHRYSALIS is currently practicing.
Is CHRYSALIS accepting new patients?
CHRYSALIS may be accepting new patients. Please call their office at (734) 282-4630 to inquire about availability.
Is NPI 1407077613 still active?
Yes, NPI 1407077613 is currently active.
Where does CHRYSALIS practice?
CHRYSALIS practices in SOUTHGATE, MI.