| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 139 Mica Rd, Ridgeway, Virginia |
| Authorized Official Name and Position | Deena G. Ombres (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Contact | 5023942100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9901 Linn Station Rd Louisville KY 40223-3808 Ph: (502) 394-2100 | 139 Mica Rd Ridgeway VA 24148-4622 Ph: (276) 956-2460 |
| NPI Number | 1619211364 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619211364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Drewry Mason School Rd, Ridgeway, VA 24148 Phone: 276-632-1113 Fax: 276-632-0923 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Magna Vista School Rd, Ridgeway, VA 24148 Phone: 276-632-1113 Fax: 276-632-0923 | |
Trojan Wellness Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 87 Sheffield Rd, Ridgeway, VA 24148 Phone: 443-320-5212 |