| Chrysalis Enterprises | |
|
11930 Menaul Blvd Ne Ste 225c Albuquerque NM 87112-2465 | |
| (505) 323-4447 | |
| (505) 323-5075 |
| Full Name | Chrysalis Enterprises |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 11930 Menaul Blvd Ne Ste 225c, Albuquerque, New Mexico |
| Authorized Official Name and Position | Julie A Watson (MEMBER) |
| Authorized Official Contact | 5053234447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Enterprises 11930 Menaul Blvd Ne Suite #225c Albuquerque NM 87048 Ph: (505) 323-4447 | Chrysalis Enterprises 11930 Menaul Blvd Ne Ste 225c Albuquerque NM 87112-2465 Ph: (505) 323-4447 |
| NPI Number | 1508395518 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508395518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 005683 (New Mexico) | Primary |
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