| Family Abuse Center For Treatment | |
|
4055 S 700 E Ste 204 Salt Lake City UT 84107-2504 | |
| (801) 946-2323 | |
| Not Available |
| Full Name | Family Abuse Center For Treatment |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4055 S 700 E Ste 204, Salt Lake City, Utah |
| Authorized Official Name and Position | Matthew Joseph Vicario (PRESIDENT) |
| Authorized Official Contact | 8019462323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Abuse Center For Treatment 4760 S Woodduck Ln Slc UT 84117-4935 Ph: (801) 946-2323 | Family Abuse Center For Treatment 4055 S 700 E Ste 204 Salt Lake City UT 84107-2504 Ph: (801) 946-2323 |
| NPI Number | 1396235156 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396235156 | NPI | - | NPPES |
| 13938810 | Other | UT | CAQH |
| 1811331010 | Medicaid | UT | |
| 12229378 | Other | UT | CAQH |
| 1548561277 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5170621-6004 (Utah) | Primary |
Shrinkster, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 E 4500 S Ste 302, Salt Lake City, UT 84107 Phone: 801-685-9600 Fax: 801-268-3777 | |
Burton Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1433 S 1100 E, Salt Lake City, UT 84105 Phone: 801-581-0422 | |
Sacred Circle Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 Fax: 801-364-4392 | |
Palliative Medicine Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 888 E 3900 S, Suite B, Salt Lake City, UT 84107 Phone: 801-747-0330 | |
Journey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 S Main St Ste B, Salt Lake City, UT 84115 Phone: 801-803-8105 | |
Blossom Aba Therapy Ut Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121 Phone: 732-730-7505 | |
Michael S Buxton Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 S 700 E Ste 11, Salt Lake City, UT 84105 Phone: 801-318-1900 |