| Revolutionary Recovery | |
|
799 Long Hill Rd Apt D Middletown CT 06457-5011 | |
| (860) 558-4226 | |
| Not Available |
| Full Name | Revolutionary Recovery |
|---|---|
| Speciality | Clinic/center |
| Location | 799 Long Hill Rd Apt D, Middletown, Connecticut |
| Authorized Official Name and Position | Jena Mitchell (NURSE PRACTITIONER) |
| Authorized Official Contact | 8605584226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolutionary Recovery 799 Long Hill Rd Apt D Middletown CT 06457-5011 Ph: (860) 558-4226 | Revolutionary Recovery 799 Long Hill Rd Apt D Middletown CT 06457-5011 Ph: (860) 558-4226 |
| NPI Number | 1013605591 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013605591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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