| Family Preservation Services, Inc | |
|
Rr 2 Box 557 Ewing VA 24248-9585 | |
| (276) 431-7214 | |
| (276) 431-7215 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Rr 2 Box 557, Ewing, 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 Rr 2 Box 557 Ewing VA 24248-9585 Ph: (276) 431-7214 |
| NPI Number | 1841427853 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841427853 | 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: 2345 Old Highway 58, Ewing, VA 24248 Phone: 276-963-3606 Fax: 276-963-3747 | |
Family Preservation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Blue Gray Road, Ewing, VA 24248 Phone: 276-431-7214 Fax: 276-431-7215 |