| Family Preservation Services, Inc | |
|
6871 Irisburg Rd Axton VA 24054-2772 | |
| (276) 632-1113 | |
| (276) 632-0923 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6871 Irisburg Rd, Axton, Virginia |
| Authorized Official Name and Position | Michael C Fidgeon (PRESIDENT) |
| Authorized Official Contact | 5407106085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services, Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 6871 Irisburg Rd Axton VA 24054-2772 Ph: (276) 632-1113 |
| NPI Number | 1669707550 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669707550 | NPI | - | NPPES |
| 158 02 029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Axton School Rd, Axton, VA 24054 Phone: 276-632-1113 Fax: 276-632-0923 |