The Chrysalis Center, Inc
Community/Behavioral Health Agency in Orlando, FL(View on Map)
Legal Business Name
The Chrysalis Center, Inc
NPI Number
1437723111
NPI Type
Organization
Enumeration Date
05/17/2021
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
3800 W BROWARD BLVD STE 100
1999 W COLONIAL DR
City
Ft Lauderdale
Orlando
State
FL
FL
Postal Code
33312-1018
32804-7021
Country
US
US
Telephone Number
(954) 587-1008
(954) 587-1008
Authorized Official
Name
Jo-ann Prisco
Title or Position
VP OF CONTRACTS
Telephone Number
(772) 214-1010
Identifiers
Identifier
075982110
Identifier State
FL
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
credentialing@chrysalishealth.com
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
1999 W Colonial DrOrlando, FL328047021US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/17/2021
Provider Address
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