Chrysalis Utah

NPI 1184033656 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1184033656
Enumeration Date 08/08/2014
Last Updated 08/08/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JESSE JESSE
Position BEHAVIOR ANALYST
Phone (801) 404-6023
Fax
Practice Location
1443 W 800 N
OREM UT, 84057-2875, US
Phone (801) 404-6023
Fax
Business Location
1443 W 800 N
OREM UT, 84057-2875, US
Phone (801) 404-6023
Fax
Toxanomy
Taxonomy Code 320900000X
License State Utah
License Number AO1532
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According to our database, Chrysalis Utah NPI is 1184033656, taxonomy code is 320900000X and license number is AO1532, license state is located at Utah. Chrysalis Utah physically located at 1443 W 800 N, Orem UT, 84057-2875. NPI Number 1033115704 has the healthcare provider type.

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1184033656 NPI number is provided on an as is basis without warranty of any kind. 1184033656 is maintained by the National Plan & Provider Enumeration System. The contents of Chrysalis Utah are for informational purposes only.