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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRYSALIS

Active Organization

CHRYSALIS is a Intellectual Disabilities Residential Treatment Facility organization located in SOUTHGATE, Michigan. NPI 1407077613 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · SOUTHGATE, MI

Registration Details

NPI Number
1407077613
Provider Type
Organization
NPI Issued
May 2, 2007 (19.329308213933 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
12985 NORTHLINE RD STE 103
SOUTHGATE, MI, 481951194
Browse MI providers · Browse ZIP 48195
Phone
7342824630
Fax
7342824684
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.