| NPI | 1063158624 |
|---|---|
| Former Legal Business Name | FULL CIRCLE LLC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE BURNS Owner 505-919-9734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-10-10 |