Organization Name: | PREVENTIVE MEASURES, LLC |
NPI Number: | 1780065359 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DWAYNE LAFON JONES (CEO) |
Mailing Address: | 5819 Allentown Rd Camp Springs |
State: | MD US |
Postal Code: | 207464570 |
Phone Number: | 2407163546 |
Fax Number: | 2024782823 |
NPI Enumeration Date: | 06/09/2015 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TP2701X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Group Psychotherapy |
Taxonomy Definition: |