Healthcare Provider Details

I. General information

NPI: 1306711460
Provider Name (Legal Business Name): UNITY FULL CIRCLE RECOVERY SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1849 CLAY ST
FAIRFIELD CA
94533-3810
US

IV. Provider business mailing address

1849 CLAY ST
FAIRFIELD CA
94533-3810
US

V. Phone/Fax

Practice location:
  • Phone: 707-563-7272
  • Fax: 707-563-7272
Mailing address:
  • Phone: 707-563-7272
  • Fax: 707-563-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ROSHAWN R ADAMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 707-563-7272