Organization
FULL CIRCLE BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDENA JEAN (CEO)
(336) 524-3730
Entity
Organization
Contact information
Practice address
2249 GOODYEAR BLVD, DANVILLE, VA 24541-6613
(336) 524-3730
Mailing address
14 CHESTNUT PL, DANVILLE, VA 24541-1812
(336) 524-3730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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