| Full Circle Adolescent Services | |
|
730 Sunrise Ave 250 Roseville CA 95661-4567 | |
| (916) 787-4357 | |
| (916) 787-4359 |
| Full Name | Full Circle Adolescent Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 730 Sunrise Ave, Roseville, California |
| Authorized Official Name and Position | Warren Daniels (CEO) |
| Authorized Official Contact | 5302739541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Adolescent Services Po Box 6028 Auburn CA 95604-6028 Ph: (530) 878-5166 | Full Circle Adolescent Services 730 Sunrise Ave 250 Roseville CA 95661-4567 Ph: (916) 787-4357 |
| NPI Number | 1477700540 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477700540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 310017AN (California) | Primary |
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