Organization
EVNSQ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA JONES-WHELAN (COO)
(801) 244-8238
Entity
Organization
Contact information
Practice address
5162 S HIGHLAND DR, HOLLADAY, UT 84117-7048
(801) 669-3967
Mailing address
5170 S HIGHLAND DR, HOLLADAY, UT 84117-7048
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72573
STATE LICENSE
UT
Enumeration date
06/11/2019
Last updated
12/07/2022
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