NPI

Chrysalis Shelter for Victims of Domestic Violence Inc

Phone (602) 955-9059 · Fax (602) 955-0165 · NPI 1033263694

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-01-22
Last updated
2026-10-05

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Specialties

Licenses

License AZ
BH4093

Location

Practice location
2055 West Northern Avenue
City
Phoenix AZ
Postal code
85021-5157
Phone
(602) 955-9059
Fax
(602) 955-0165

Organization contact

Name
Susan Connelly
Title
CEO
Phone
(602) 955-9059

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Point of Service providers in Phoenix, AZ. 18 with this primary taxonomy in the public file.

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