Organization
BUTTERFLY IMPRINTS
Active
Other names
The LifeChange Group
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE SCOTT ED (CHIEF EXECUTIVE OFFICER)
(980) 323-0044
Entity
Organization
Contact information
Practice address
2215 US 52 N, ALBEMARLE, NC 28001-9510
(980) 354-4222
Mailing address
1546 HWY 24, ALBEMARLE, NC 28001
(980) 323-0044
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
04/20/2022
Last updated
09/15/2023
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