| Chrysalis Health | |
|
230 N Dixie Hwy Ste 102 Lake Worth FL 33460-3362 | |
| (561) 533-6640 | |
| Not Available |
| Full Name | Chrysalis Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 N Dixie Hwy Ste 102, Lake Worth, Florida |
| Authorized Official Name and Position | Jo-ann Prisco (VP OF CONTRACTS) |
| 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 230 N Dixie Hwy Ste 102 Lake Worth FL 33460-3362 Ph: (561) 533-6640 |
| NPI Number | 1326612011 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326612011 | NPI | - | NPPES |
| 076058700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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