Crc-Idcmp
LBN: Chrysalis Recovery Center Llc
Crc-Idcmp is an health care organization with primary practice located at 112 S State St , Concord NH 03301. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Chrysalis Recovery Center Llc can be contacted via phone (603) 998-4210, or through Macarthur, Kirsten via phone (603) 998-4210.
Contact Information
Primary practice address
112 S State St
Concord NH 03301
Phone: (603) 998-4210
Fax: (603) 532-0720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0664 | New Hampshire |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1389AD | Massachusetts |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0831 | New Hampshire |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Specialist | 174400000X | ANGER MANAGEMENT | |
| Other Service Providers / Specialist | 174400000X | BATTERERS SPECIALIST | |
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1770714024 |
|---|---|
| LBN Legal business name | Chrysalis Recovery Center Llc |
| DBA Doing business as | Crc-Idcmp |
| Authorized official | Macarthur, Kirsten MS,LADC,,CAMT,SAT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Jun 22nd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770714024 | NPPES |
| New Hampshire | MEDICAID | 3098259 |
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