| The Chrysalis Group, Llc | |
|
33-11 Broadway Ste 201 Fair Lawn NJ 07410-4638 | |
| (201) 873-8583 | |
| (201) 794-0962 |
| Full Name | The Chrysalis Group, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 33-11 Broadway Ste 201, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Francine Gordon (MANAGING PARTNER) |
| Authorized Official Contact | 2018738583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chrysalis Group, Llc 33-11 Broadway Ste 201 Fair Lawn NJ 07410-4638 Ph: (201) 873-8583 | The Chrysalis Group, Llc 33-11 Broadway Ste 201 Fair Lawn NJ 07410-4638 Ph: (201) 873-8583 |
| NPI Number | 1215109301 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215109301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05206200 (New Jersey) | Primary |
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