OrganizationActive
Chrysallis, Inc.
NPI 1306095617 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hyattsville, MD
Provider details
- NPI number
- 1306095617
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ilene Wilson, President/ Ceo(301) 853-6754
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
6495 New Hampshire Ave
Suite 303
Hyattsville, MD 20783-3245
Phone: (301) 853-6754
Fax: (301) 853-6756
Approximate (ZIP-level) locationGet directions
Mailing address
6495 New Hampshire Ave
Hyattsville, MD 20783-3245
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2008-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.