Provider Demographics
NPI:1194273615
Name:CHOICE RECOVERY
Entity type:Organization
Organization Name:CHOICE RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-654-1082
Mailing Address - Street 1:531 E 770 N
Mailing Address - Street 2:#B
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4102
Mailing Address - Country:US
Mailing Address - Phone:385-309-1515
Mailing Address - Fax:
Practice Address - Street 1:531 E 770 N
Practice Address - Street 2:#B
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4102
Practice Address - Country:US
Practice Address - Phone:385-309-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT22565251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management