Chrysalis
Chrysalis is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Southgate, Michigan. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
12985 Northline Rd Ste 103Southgate, MI 48195-1194
Phone: (734) 282-4630
Fax: (734) 282-4684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1407077613 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maribeth Knisley — Executive Director · (734) 282-4630 |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12985 Northline Rd Ste 103, Southgate, MI 48195-1194 |