NPI 1033263694

Chrysalis Shelter for Victims of Domestic Violence INC

Organisation Point of Service Phoenix, AZ

Practice location

Address: 2055 West Northern Avenue, Phoenix, AZ 85021-5157
Phone: (602) 955-9059
Fax: (602) 955-0165

Authorised official

Name: Patricia Klahr
Title: Executive Director
Phone: (602) 955-9059

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence BH4093 (AZ)

Other Point of Service providers in Arizona →

Registry record

NPI: 1033263694
Entity type: Organization
NPI issued: 22 Jan 2007
Record last updated: 21 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.