NPI 1891898045
Chrysalis Utah, LLC
Practice location
- Address
- 1443 W 800 N Suite 103, Orem, UT 84057-2875
- Phone
- (801) 655-4950
- Fax
- (801) 655-4954
Authorised official
- Name
- Marc Robert Christensen
- Title
- Chief Operations Officer
- Phone
- (801) 655-4950
Registered specialties (3)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Mental Health Counselor
Behavior Analyst
Registry record
- NPI
- 1891898045
- Entity type
- Organization
- NPI issued
- 6 Sep 2006
- Record last updated
- 21 Jul 2022
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.