| Chrysalis Health | |
|
3521 W Broward Blvd Lauderhill FL 33312-1048 | |
| (954) 587-1008 | |
| Not Available |
| Full Name | Chrysalis Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3521 W Broward Blvd, Lauderhill, Florida |
| Authorized Official Name and Position | Jo-ann Prisco (VP CONTRACTS AND PAYOR RELATIONS) |
| Authorized Official Contact | 7722141010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Health 3800 W Broward Blvd Ste 100 Ft Lauderdale FL 33312-1018 Ph: (954) 587-1008 | Chrysalis Health 3521 W Broward Blvd Lauderhill FL 33312-1048 Ph: (954) 587-1008 |
| NPI Number | 1174838262 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174838262 | NPI | - | NPPES |
| 075982100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH 7951 (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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