Organization
SUPREME WELLNESS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE BRESLIN (PROJECT DIRECTOR)
(215) 874-3636
Entity
Organization
Contact information
Practice address
603 CORPORATE DR W, LANGHORNE, PA 19047-8013
(215) 874-3636
(215) 910-4350
Mailing address
603 CORPORATE DR W, LANGHORNE, PA 19047-8013
(215) 874-3636
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
03/14/2023
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