| Rubicon Transformation Center, Llc | |
|
822 E Main St Ste G101 Grantsville UT 84029-2500 | |
| (801) 898-4686 | |
| (801) 931-2027 |
| Full Name | Rubicon Transformation Center, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 822 E Main St Ste G101, Grantsville, Utah |
| Authorized Official Name and Position | Angela M. Demelo (OFFICE MANAGER) |
| Authorized Official Contact | 8017129640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubicon Transformation Center, Llc 822 E Main St Ste G Grantsville UT 84029-2501 Ph: (801) 898-4686 | Rubicon Transformation Center, Llc 822 E Main St Ste G101 Grantsville UT 84029-2500 Ph: (801) 898-4686 |
| NPI Number | 1629567722 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629567722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Willow Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Nygreen St, Grantsville, UT 84029 Phone: 801-450-8813 | |
Rct Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Nygreen St, Grantsville, UT 84029 Phone: 801-450-8813 |