| NPI | 1508490541 |
|---|---|
| Doing Business As | FULL CIRCLE WELLNESS |
| Doing Business As | FULL CIRCLE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHERYL A HEITKAMP Director 612-345-5920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-12-21 |