| NPI | 1760921472 |
|---|---|
| Doing Business As | ENVISION WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JACEY THOMAS FOLKERS Director 402-281-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |