Organization
RECOVERY AND HEALTH SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE W MILKEY APRN (OWNER)
(203) 305-5165
Entity
Organization
Contact information
Practice address
143 HOYT ST, 4B, STAMFORD, CT 06905-5759
(203) 918-8557
(203) 517-9780
Mailing address
143 HOYT ST, 4B, STAMFORD, CT 06905-5759
(203) 918-8557
(203) 517-9780
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
004864
CT
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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