| NPI | 1649983495 |
|---|---|
| Doing Business As | FULL CIRCLE YOUTH & FAMILY CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANELL NICOLE JACOBS Owner 410-487-4300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-27 |