Healthcare Provider Details

I. General information

NPI: 1770714024
Provider Name (Legal Business Name): CHRYSALIS RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 09/02/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S STATE ST
CONCORD NH
03301-3528
US

IV. Provider business mailing address

112 S STATE ST
CONCORD NH
03301
US

V. Phone/Fax

Practice location:
  • Phone: 603-998-4210
  • Fax: 603-532-0720
Mailing address:
  • Phone: 603-998-4210
  • Fax: 603-532-0720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIRSTEN MACARTHUR
Title or Position: CEO
Credential: MS, LADC, LADC-1, SA
Phone: 603-998-4210