The Chrysalis Center, Inc

LBN: The Chrysalis Center, Inc
The Chrysalis Center, Inc is an health care organization with primary practice located at 3820 Colonial Blvd Ste 102 , Fort Myers FL 33966-1094. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. The Chrysalis Center, Inc can be contacted via phone (239) 208-9449, or through Prisco, Jo-Ann via phone (772) 214-1010.

Contact Information

Primary practice address
3820 Colonial Blvd Ste 102 Fort Myers FL 33966-1094
Phone: (239) 208-9449
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prisco, Jo-Ann
Phone: (772) 214-1010

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1548839988
LBN Legal business name The Chrysalis Center, Inc
DBA Doing business as
Authorized official Prisco, Jo-Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2021
Last updated Jun 21st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548839988 NPPES
Florida MEDICAID 105463400

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