| Family Apreservation Services, Inc. | |
|
205 Lake Tower Dr Hampton VA 23666 | |
| (757) 838-8520 | |
| (757) 838-8528 |
| Full Name | Family Apreservation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 205 Lake Tower Dr, Hampton, Virginia |
| Authorized Official Name and Position | Jessica Nicole Gifford (PENINSULA REGIONAL DIRECTOR) |
| Authorized Official Contact | 7578388520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Apreservation Services, Inc. 205 Lake Tower Dr Hampton VA 23666 Ph: (757) 838-8520 | Family Apreservation Services, Inc. 205 Lake Tower Dr Hampton VA 23666 Ph: (757) 838-8520 |
| NPI Number | 1285774612 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285774612 | NPI | - | NPPES |
| O82331M | Other | SENTARA-OPTIMA | |
| 383406 | Other | VA | TRICARE & MHN |
| 177812 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0810003464 (Virginia) | Primary |
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