Organization
FULL CIRCLE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DOTY (COO)
(951) 737-6199
Entity
Organization
Contact information
Practice address
139 TRAKEHNER PL, NORCO, CA 92860-5153
(951) 737-6199
(877) 963-6329
Mailing address
1860 LAMPTON LN, NORCO, CA 92860-3614
(951) 737-6199
(877) 963-6329
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330141BN
DHCS
CA
Enumeration date
07/09/2019
Last updated
07/09/2019
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