Clinical Security and Logistics, Inc. Dba Full Circle Recovery Service

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLINICAL SECURITY AND LOGISTICS, INC. DBA FULL CIRCLE RECOVERY SERVICE

Practice address

4977 Northcutt PL
Dayton, OH 45414-3839

Phone

(373) 876-3959

NPI assigned

Jul 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Crane-Jackson

Title

Compliance Director

Phone

(937) 250-7533

Specialties & licenses 1

Addresses

Tax ID family

Clinic Security and Logistics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clinic Security and Logistics, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1215428016
  NPD tax ID
• Clinic Security and Logistics, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1225745284
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1144954983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4977 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143839",
            "telephone_number": "937-387-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4977 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143839",
            "telephone_number": "373-876-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SECURITY AND LOGISTICS, INC. DBA FULL CIRCLE RECOVERY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "CRANE-JACKSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "937-250-7533"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattison Cline
• Clinic Medical Services Company
• Clinic Security and Logistics, Inc.
• Clinic Security and Logistics, Inc.
• Clinical Psychological Services, LLC
• Anna Louise Clontz, CDCA
• Alicia Clore, M.S. CCC-SLP
• Gayle M Close, MD
• Adam R Cloud, M.D.
• Leah K. Cloud, M.D.

• General Practice Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.