Organization
FULL CIRCLE HEALING
Active
Organization
FULL CIRCLE HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FABRICE WILLIAM DOLCE CADC1 (OWNER)
(541) 884-6004
Entity
Organization
Contact information
Practice address
905 MAIN ST, SUITE 211, KLAMATH FALLS, OR 97601-5810
(541) 884-6004
(541) 884-6004
Mailing address
905 MAIN ST, SUITE 211, KLAMATH FALLS, OR 97601-5810
(541) 884-6004
(541) 884-6004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
07-06-73U3
OR
252Y00000X
Early Intervention Provider Agency
07-06-73U3
OR
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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