| NPI | 1356905566 |
|---|---|
| Doing Business As | REVOLUTION INTEGRATIVE HEALTH |
| Entity Type | Organization |
| Authorized Contact | MIRIRAM SCHWARTZ Owner 860-995-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |