Organization
SUPREME WELLNESS RECOVERY SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMA MAHMOOD DO (MEDICAL DIRECTOR)
(215) 874-3636
Entity
Organization
Contact information
Practice address
638 NEWTOWN YARDLEY RD STE 1F, NEWTOWN, PA 18940-1740
(215) 874-3636
Mailing address
638 NEWTOWN YARDLEY RD STE 1F, NEWTOWN, PA 18940-1740
(215) 768-6186
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
03/14/2023
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