| Preventive Measures Of Wash Dc,llc | |
|
2124 Martin Luther King Jr Ave Se Washington DC 20020-5732 | |
| (202) 563-7632 | |
| Not Available |
| Full Name | Preventive Measures Of Wash Dc,llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2124 Martin Luther King Jr Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Erin Harris (PRESIDENT/CFO) |
| Authorized Official Contact | 4842260986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Measures Of Wash Dc,llc 2124 Martin Luther King Jr Ave Se Washington DC 20020-5732 Ph: (484) 226-0986 | Preventive Measures Of Wash Dc,llc 2124 Martin Luther King Jr Ave Se Washington DC 20020-5732 Ph: (202) 563-7632 |
| NPI Number | 1801193198 |
|---|---|
| Provider Enumeration Date | 02/22/2011 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 7719210251 |
|---|---|
| Medicare Enrollment ID | O20190614001453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801193198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 70104845 (District Of Columbia) | Primary |
| Provider Name | Ryszard Zebrak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679523799 PECOS PAC ID: 0042240442 Enrollment ID: I20051215000815 |
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