| Family Preservation Services, Inc | |
|
85 Riverside Dr Bassett VA 24055-4246 | |
| (276) 632-1113 | |
| (276) 632-0923 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85 Riverside Dr, Bassett, 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 Services, Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 85 Riverside Dr Bassett VA 24055-4246 Ph: (276) 632-1113 |
| NPI Number | 1699910133 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699910133 | 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: 220 Campbell Ct, Bassett, VA 24055 Phone: 276-632-1113 Fax: 276-632-0923 | |
County Line Counselors Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 County Line Rd, Bassett, VA 24055 Phone: 276-790-7497 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Sanville School Rd, Bassett, VA 24055 Phone: 276-632-1113 Fax: 276-632-0923 | |
County Line Enhancement Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 County Line Rd, Bassett, VA 24055 Phone: 276-790-7497 |