Provider Demographics
NPI:1811094543
Name:BUTTERFLY CENTER RECOVERY CORP
Entity type:Organization
Organization Name:BUTTERFLY CENTER RECOVERY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SNELLING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:313-533-1550
Mailing Address - Street 1:24865 5 MILE RD
Mailing Address - Street 2:STE 4
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3694
Mailing Address - Country:US
Mailing Address - Phone:313-533-1550
Mailing Address - Fax:313-533-1456
Practice Address - Street 1:24865 5 MILE RD
Practice Address - Street 2:STE 4
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3694
Practice Address - Country:US
Practice Address - Phone:313-533-1550
Practice Address - Fax:313-533-1456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIR67788Medicare UPIN
MI0891593Medicare ID - Type Unspecified