Chrysalis Foundation For Mental Health, Inc

LBN: Chrysalis Foundation For Mental Health, Inc
Chrysalis Foundation For Mental Health, Inc is an health care organization with primary practice located at 211 Webb St , Roxboro NC 27573-5338. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Chrysalis Foundation For Mental Health, Inc can be contacted via phone (336) 599-6030, or through Parker, Jefferson Douglas via phone (919) 933-0828.

Contact Information

Primary practice address
211 Webb St Roxboro NC 27573-5338
Phone: (336) 599-6030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, Jefferson Douglas
Phone: (919) 933-0828

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL-073-031 North Carolina

Profile Details

NPI number 1487796116
LBN Legal business name Chrysalis Foundation For Mental Health, Inc
DBA Doing business as
Authorized official Parker, Jefferson Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 17th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487796116 NPPES
North Carolina MEDICAID 8301148
North Carolina MEDICAID 8301148S

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