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Organization

RAM RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMEELA MITCHELL CRNP (NURSE PRACTITIONER)
(443) 300-6757
Entity
Organization

Contact information

Practice address
3455 WILKENS AVE STE 100, BALTIMORE, MD 21229-5204
(240) 447-8036
(240) 213-2335
Mailing address
215 NAVAJO DR, RED LION, PA 17356-9646
(443) 300-6757
(443) 460-0865

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
208D00000X
General Practice Physician
363LA2200X
Adult Health Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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