OrganizationActive
Chrysalis Nevada, Inc.
NPI 1285738476 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Orem, UT
Provider details
- NPI number
- 1285738476
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marc Christensen, Chief Operations Officer(801) 805-1640
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
223 W 520 N
Orem, UT 84057-4696
Phone: (801) 805-1640
Fax: (801) 805-6733
Approximate (ZIP-level) locationGet directions
Mailing address
223 W 520 N
Orem, UT 84057-4696
Other names (DBA / former)
- Other name
- Chrysalis
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.