Healthcare Provider Details

I. General information

NPI: 1427535251
Provider Name (Legal Business Name): FULL CIRCLE RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1052 MAIN ST NE STE D
LOS LUNAS NM
87031-7436
US

IV. Provider business mailing address

3056 FRONTIER AVE NE
ALBUQUERQUE NM
87106-2037
US

V. Phone/Fax

Practice location:
  • Phone: 505-865-4140
  • Fax: 505-865-4938
Mailing address:
  • Phone: 505-620-6891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM LOUIS GARBERINA
Title or Position: CEO/CLINICAL DIRECTOR
Credential: LCSW
Phone: 505-620-6891