Main Office: 112 S. State St. Concord, NH 03301 also in Manchester, Franklin and Northwood

intake@crc-idcmp.com

Chrysalis Recovery Center, LLC & CRC's DWI Program (IDCMP)

All Locations Call: 603-998-4210

If you need to have an Intake at an IDCMP for a recent DWI Conviction - Please Complete this form and we will call you within one business day to schedule your intake.

Name
Address
Phone Number
Email Address
Date of DWI Conviction
Type of DWI Conviction	Aggravated Not Aggravated DWI First Offense DWI II DWI - 3+
BAC (or write refused)
Where would you like your intake	Franklin Concord Manchester Northwood
Message
	Send Message

Thank you for contacting us. We will get back to you as soon as possible. To contact our Intake Coordinator by phone please call Kyle MacArthur at 603-998-4210

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Want to Sign Up For a Class At Chrysalis?? Complete this and we will respond to you within 24 hours.

Name
Address
Email Address
Phone Number
Are you enrolled in another IDCMP? Where? or say NO or NA
What class date do you want to sign up for? or say UNSURE
Are you on any of the following?
- None - NA
- TANF
- SSI
- SSDI
- APTD
- Veterans Disablity
Date of DWI/OUI Conviction
Type of Offense
BAC result or type: REFUSED
If this is not for a DWI please say what you are looking for
Send Message

Thank you for contacting us. We will get back to you within 24 hours. Thank you for choosing Chrysalis.

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Mailing Address for Chrysalis: 112 S. State Street Concord, NH 03301 (HOURS in CONCORD; 6 days a week - Mon-Sat 8-5)

Main Location is our Concord Address: 112 S. State St. Concord, NH 03301

Satellite Offices:

Manchester Location: 15 High St. Manchester, NH 03101

Franklin Location: 20 Canal St. Franklin NH 03235 - In the Franklin Business Center - up one floor

Northwood Location: 1130 1st NH Turnpike Northwood, NH 03264 - (aka Route 4)

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