| Chrysalis Family Center For Development | |
|
9500 E 63rd St #108 Raytown MO 64133-4956 | |
| (816) 960-7111 | |
| Not Available |
| Full Name | Chrysalis Family Center For Development |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9500 E 63rd St, Raytown, Missouri |
| Authorized Official Name and Position | Kelli Miesse (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8169607111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Family Center For Development 9500 E 63rd St #108 Raytown MO 64133-4956 Ph: (816) 960-7111 | Chrysalis Family Center For Development 9500 E 63rd St #108 Raytown MO 64133-4956 Ph: (816) 960-7111 |
| NPI Number | 1669889515 |
|---|---|
| Provider Enumeration Date | 07/11/2014 |
| Last Update Date | 07/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669889515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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