Provider Demographics
NPI:1760283493
Name:RUBATO RELATIONS LLC
Entity type:Organization
Organization Name:RUBATO RELATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINCIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANOMALAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-7328
Authorized Official - Phone:651-428-0274
Mailing Address - Street 1:104 E FAIRVIEW AVE # 217
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1733
Mailing Address - Country:US
Mailing Address - Phone:651-428-0274
Mailing Address - Fax:
Practice Address - Street 1:6126 W STATE ST # 307
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83703-2741
Practice Address - Country:US
Practice Address - Phone:651-428-0274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health