Rubicon Transformation Center, LLC
NPI #1629567722 in Grantsville, Utah
Provider Information
- NPI Number
- 1629567722
- Entity Type
- Organization
- Organization Name
- Rubicon Transformation Center, LLC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- May 3, 2018
- Last Updated
- May 3, 2018
Practice Location
- Address
- 822 E MAIN ST STE G101
- City
- Grantsville
- State
- Utah
- ZIP Code
- 84029-2500
- Phone
- (801) 898-4686
Authorized Official
- Name
- ANGELA M. DEMELO
- Title
- OFFICE MANAGER
- Phone
- (801) 712-9640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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