Supreme Wellness Recovery South LLC
NPI #1164991105 in Newtown, Pennsylvania
Provider Information
- NPI Number
- 1164991105
- Entity Type
- Organization
- Organization Name
- Supreme Wellness Recovery South LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 20, 2018
- Last Updated
- Mar 14, 2023
Practice Location
- Address
- 638 NEWTOWN YARDLEY RD STE 1F
- City
- Newtown
- State
- Pennsylvania
- ZIP Code
- 18940-1740
- Phone
- (215) 874-3636
Authorized Official
- Name
- HUMA MAHMOOD, DO
- Title
- MEDICAL DIRECTOR
- Phone
- (215) 874-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
| Community/Behavioral Health |
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