Organization
FULL CIRCLE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN C DOTY (CEO)
(951) 737-6199
Entity
Organization
Contact information
Practice address
1860 LAMPTON LN, NORCO, CA 92860-3614
(951) 737-6199
Mailing address
1860 LAMPTON LN, NORCO, CA 92860-3614
(951) 737-6199
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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