Organization
PREVENTIVE MEASURES OF GA
Active
Organization
PREVENTIVE MEASURES OF GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN HARRIS (PRESIDENT/CFO)
(484) 226-0986
Entity
Organization
Contact information
Practice address
1808 OVER LAKE DR SE, CONYERS, GA 30013-6608
(678) 806-3468
Mailing address
1808 OVER LAKE DR SE, CONYERS, GA 30013-6608
(678) 806-3468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170456LGB
GA
Other
Enumeration date
12/15/2015
Last updated
10/03/2024
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