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Organization
UTAH VALLEY FAMILY SUPPORT CENTER INC
Active
Organization
UTAH VALLEY FAMILY SUPPORT CENTER INC
Active
Other names
Family Support & Treatment Center Inc., Family Support & Treatment Center INC
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH M MITSUDA (BUSINESS MANAGER)
(801) 229-1181
Entity
Organization
Contact information
Practice address
1255 N 1200 W, OREM, UT 84057-2445
(801) 229-1181
(801) 229-2787
Mailing address
1255 N 1200 W, OREM, UT 84057-2445
(801) 229-1181
(801) 229-2787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11417
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788265
—
UT
Enumeration date
11/06/2006
Last updated
02/12/2019
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