# RUBICON TRANSFORMATION CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629567722
- **Authorized official:** ANGELA M. DEMELO (OFFICE MANAGER)
- **Authorized official phone:** (801) 712-9640

## Contact information

- **Practice address:** 822 E MAIN ST STE G101, GRANTSVILLE, UT 84029-2500
- **Practice address phone:** (801) 898-4686
- **Practice address fax:** (801) 931-2027
- **Mailing address:** 822 E MAIN ST STE G, GRANTSVILLE, UT 84029-2501
- **Mailing address phone:** (801) 898-4686
- **Mailing address fax:** (801) 931-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018