Provider Demographics
NPI:1972019248
Name:SOCIAL BUTTERFLY INTERNATIONAL
Entity Type:Organization
Organization Name:SOCIAL BUTTERFLY INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-454-2310
Mailing Address - Street 1:6050 CHISHOLM TRL
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77708-3612
Mailing Address - Country:US
Mailing Address - Phone:409-454-2310
Mailing Address - Fax:
Practice Address - Street 1:6050 CHISHOLM TRL
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-3612
Practice Address - Country:US
Practice Address - Phone:409-454-2310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services