The Chrysalis Center, Inc

LBN: The Chrysalis Center, Inc
The Chrysalis Center, Inc is an health care organization with primary practice located at 1061 W Oakland Park Blvd , Wilton Manors FL 33311-1609. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. The Chrysalis Center, Inc can be contacted via phone (954) 792-9242, or through Prisco, Jo-Ann via phone (549) 587-1008.

Contact Information

Primary practice address
1061 W Oakland Park Blvd Wilton Manors FL 33311-1609
Phone: (954) 792-9242
Fax: (954) 792-9243
Website:
Map and Directions
Authorized official contact:
Name: Prisco, Jo-Ann LMHC
Phone: (549) 587-1008

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Florida
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1629337258
LBN Legal business name The Chrysalis Center, Inc
DBA Doing business as
Authorized official Prisco, Jo-Ann LMHC
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2012
Last updated May 17th, 2021 - about 3 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 1629337258 NPPES
Florida MEDICAID 075982114

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