Organization
REVOLUTIONARY RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENA MITCHELL DNP (NURSE PRACTITIONER)
(860) 558-4226
Entity
Organization
Contact information
Practice address
799 LONG HILL RD APT D, MIDDLETOWN, CT 06457-5011
(860) 558-4226
Mailing address
799 LONG HILL RD APT D, MIDDLETOWN, CT 06457-5011
(860) 558-4226
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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