| Chrysalis Institute, Llc | |
|
800 Ne 19th St Moore OK 73160-6302 | |
| (405) 735-5263 | |
| (405) 735-5265 |
| Full Name | Chrysalis Institute, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 800 Ne 19th St, Moore, Oklahoma |
| Authorized Official Name and Position | Kelly Bender (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 4053013983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Institute, Llc 800 Ne 19th St Moore OK 73160-6302 Ph: (405) 735-5263 | Chrysalis Institute, Llc 800 Ne 19th St Moore OK 73160-6302 Ph: (405) 735-5263 |
| NPI Number | 1265663363 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265663363 | NPI | - | NPPES |
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