Organization
RUBICON TRANSFORMATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M. DEMELO (OFFICE MANAGER)
(801) 712-9640
Entity
Organization
Contact information
Practice address
822 E MAIN ST STE G101, GRANTSVILLE, UT 84029-2500
(801) 898-4686
(801) 931-2027
Mailing address
822 E MAIN ST STE G, GRANTSVILLE, UT 84029-2501
(801) 898-4686
(801) 931-2027
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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