| The Chrysalis Center | |
|
3521 W Broward Blvd Fort Lauderdale FL 33312-1048 | |
| (954) 587-1008 | |
| Not Available |
| Full Name | The Chrysalis Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3521 W Broward Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Manuel Menendez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9545871008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chrysalis Center 3521 W Broward Blvd Fort Lauderdale FL 33312-1048 Ph: (954) 587-1008 | The Chrysalis Center 3521 W Broward Blvd Fort Lauderdale FL 33312-1048 Ph: (954) 587-1008 |
| NPI Number | 1205145026 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205145026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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