Organization · Type 2 NPI

Chrysalis Utah, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Orem, UT

NPI number 1891898045 Active

Practice location

1443 W 800 N, Suite 103
Orem, UT 84057-2875

Fax (801) 655-4954

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1891898045

Chrysalis Utah, LLC's National Provider Identifier is 1891898045, issued on Sep 6, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Orem, UT. The record was last updated on Jul 21, 2022.