| Chrysalis Foundation For Mental Health, Inc | |
|
211 Webb St Roxboro NC 27573-5338 | |
| (336) 599-6030 | |
| Not Available |
| Full Name | Chrysalis Foundation For Mental Health, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 211 Webb St, Roxboro, North Carolina |
| Authorized Official Name and Position | Jefferson Douglas Parker (ACTING EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9199330828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Foundation For Mental Health, Inc 101 E Weaver St Suite G-7 Carrboro NC 27510-2370 Ph: (919) 933-0770 | Chrysalis Foundation For Mental Health, Inc 211 Webb St Roxboro NC 27573-5338 Ph: (336) 599-6030 |
| NPI Number | 1487796116 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487796116 | NPI | - | NPPES |
| 8301148 | Medicaid | NC | |
| 8301148S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-073-031 (North Carolina) | Primary |
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