| Family Support & Treatment Center Inc | |
|
1255 N 1200 W Orem UT 84057-2445 | |
| (801) 229-1181 | |
| (801) 229-2787 |
| Full Name | Family Support & Treatment Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1255 N 1200 W, Orem, Utah |
| Authorized Official Name and Position | Ruth M Mitsuda (BUSINESS MANAGER) |
| Authorized Official Contact | 8012291181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support & Treatment Center Inc 1255 N 1200 W Orem UT 84057-2445 Ph: (801) 229-1181 | Family Support & Treatment Center Inc 1255 N 1200 W Orem UT 84057-2445 Ph: (801) 229-1181 |
| NPI Number | 1306915541 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 02/12/2019 |
| Medicare PECOS PAC ID | 0749211613 |
|---|---|
| Medicare Enrollment ID | O20050830000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306915541 | NPI | - | NPPES |
| 788007788265 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11417 (Utah) | Primary |
| Provider Name | Joy A O'banion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235198763 PECOS PAC ID: 0648201517 Enrollment ID: I20150715001897 |
| Provider Name | Stuart D Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225097900 PECOS PAC ID: 7911283270 Enrollment ID: I20170421000313 |
| Provider Name | Emily M Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538696729 PECOS PAC ID: 5496084394 Enrollment ID: I20190830002489 |
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