Chrysalis

LBN: Chrysalis
Chrysalis is an health care organization with primary practice located at 12985 Northline Rd Ste 103 , Southgate MI 48195-1194. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Chrysalis can be contacted via phone (734) 282-4630, or through Knisley, Maribeth Alice via phone (734) 282-4630.

Contact Information

Primary practice address
12985 Northline Rd Ste 103 Southgate MI 48195-1194
Phone: (734) 282-4630
Fax: (734) 282-4684
Website:
Map and Directions
Authorized official contact:
Name: Knisley, Maribeth Alice MSW
Phone: (734) 282-4630

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1407077613
LBN Legal business name Chrysalis
DBA Doing business as
Authorized official Knisley, Maribeth Alice MSW
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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