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Organization

ENVISION RECOVERY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOLYNN L OLIVER (OWNER)
(801) 755-6112
Entity
Organization

Contact information

Practice address
5897 W ROUND ROCK DR, HERRIMAN, UT 84096-8202
(801) 755-6112
Mailing address
5897 W ROUND ROCK DR, HERRIMAN, UT 84096-8202
(801) 755-6112

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
11826
UT
324500000X
Substance Abuse Rehabilitation Facility
16694
UT

Other

Enumeration date
01/22/2016
Last updated
01/22/2016
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