Provider Demographics
NPI:1437930203
Name:CHRYSALIS INC.
Entity Type:Organization
Organization Name:CHRYSALIS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RISCHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-256-3102
Mailing Address - Street 1:1342 DEWEY CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3019
Mailing Address - Country:US
Mailing Address - Phone:608-256-3102
Mailing Address - Fax:
Practice Address - Street 1:1342 DEWEY CT
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3019
Practice Address - Country:US
Practice Address - Phone:608-256-3102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)