Family Preservation Services, Inc | |
Route 644 Boissevain (tazewell) VA 24606 | |
(276) 963-3606 | |
(276) 963-3747 |
Full Name | Family Preservation Services, Inc |
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Speciality | Community/behavioral Health |
Location | Route 644, Boissevain (tazewell), 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 |
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Family Preservation Services, Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc Route 644 Boissevain (tazewell) VA 24606 Ph: (276) 963-3606 |
NPI Number | 1639482482 |
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Provider Enumeration Date | 07/22/2010 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639482482 | NPI | - | NPPES |
158 02 029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |