| Family Preservation Service Inc | |
|
1840 Tazewell Ave Bluefield VA 24605-1125 | |
| (276) 963-3606 | |
| (276) 963-3747 |
| Full Name | Family Preservation Service Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1840 Tazewell Ave, Bluefield, Virginia |
| Authorized Official Name and Position | Michael C Fidgeon (CEO) |
| Authorized Official Contact | 5407106085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Service Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Service Inc 1840 Tazewell Ave Bluefield VA 24605-1125 Ph: (276) 963-3606 |
| NPI Number | 1396992095 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 08/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396992095 | NPI | - | NPPES |
| 158 02 029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |
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