Chrysalis, A Home For Girls, Inc. in Dothan - Residential Treatment Facility, Emotionally Disturbed Children
Chrysalis, A Home For Girls, Inc. - NPI 1891808036
Chrysalis, A Home For Girls, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Dothan, Alabama. Chrysalis, A Home For Girls, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Chrysalis, A Home For Girls, Inc. is 1891808036. The last update date is 2020-08-22.
Chrysalis, A Home For Girls, Inc.'s current location address is 100 Westside Dr, Dothan, Alabama. You can contact this provider via phone number 3347932237 and fax number 3347126256. The mailing address for Chrysalis, A Home For Girls, Inc. is 100 Westside Dr, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chrysalis, A Home For Girls, Inc. |
|---|---|
| Address | 100 Westside Dr, Dothan, Alabama |
| Phone Number | 3347932237 |
| Fax Number | 3347126256 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Dismukes Richard |
| Credentials | LPC |
| Telephone Number | 3347932237 |
NPI Number Detail
| NPI Number | 1891808036 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Westside Dr |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 363031908 |
| Phone Number | 3347932237 |
| Fax Number | 3347126256 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 12901 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique identifier code issued to Chrysalis, A Home For Girls, Inc. by the Centers for Medicare & Medicaid Services?
The Chrysalis, A Home For Girls, Inc. has been assigned the NPI (National Provider Identifier) 1891808036. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Chrysalis, A Home For Girls, Inc.'s physical address?
The Chrysalis, A Home For Girls, Inc. is physically located at 100 Westside Dr, in the city of Dothan, AL, with the postal code 363031908.
What is Chrysalis, A Home For Girls, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Chrysalis, A Home For Girls, Inc.'s area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
On what date did Chrysalis, A Home For Girls, Inc. receive its 1891808036 assignment from the Centers for Medicare & Medicaid Services?
The Chrysalis, A Home For Girls, Inc. was assigned its 1891808036 on 2006-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Chrysalis, A Home For Girls, Inc. most recently updated or refreshed?
The details pertaining to the Chrysalis, A Home For Girls, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.