Organization · Type 2 NPI
Chrysalis
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Southgate, MI
Practice location
12985 Northline Rd Ste 103
Southgate, MI 48195-1194
Fax (734) 282-4684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1407077613
Chrysalis's National Provider Identifier is 1407077613, issued on May 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Southgate, MI. The record was last updated on Aug 22, 2020.