Chrysalis Foundation For Mental Health, INC
Community/Behavioral Health in Roxboro, NC. Organization (NPI-2).
NPI number1487796116
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1487796116
- Entity type
- Organization (NPI-2)
- Legal business name
- Chrysalis Foundation For Mental Health, INC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | MHL-073-031 | NC | Yes |
Practice location
211 Webb StRoxboro, NC 27573-5338
Phone 336-599-6030
Mailing address
101 E Weaver StSuite G-7
Carrboro, NC 27510-2370
Phone 919-933-0770 · Fax 919-933-0767
Authorized official
Jefferson Douglas Parker
Acting Executive Director
9199330828
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