Organization
RUBICON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA J THORNHILL (DEPUTY DIRECTOR)
(804) 381-6307
Entity
Organization
Contact information
Practice address
2825 RADY ST, RICHMOND, VA 23222-4097
(804) 767-6600
(804) 321-2997
Mailing address
1300 MACTAVISH AVE, RICHMOND, VA 23230-4616
(804) 359-3255
(804) 359-5137
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
16101033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04944542
—
VA
Enumeration date
11/02/2006
Last updated
07/15/2008
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