| Family Preservation Services, Inc | |
|
10301 Democracy Ln Suite 275 Fairfax VA 22030-2545 | |
| (703) 691-7373 | |
| (703) 691-7378 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10301 Democracy Ln, Fairfax, Virginia |
| Authorized Official Name and Position | Michael 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 Suite 300 Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 10301 Democracy Ln Suite 275 Fairfax VA 22030-2545 Ph: (703) 691-7373 |
| NPI Number | 1376629618 |
|---|---|
| Provider Enumeration Date | 10/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376629618 | NPI | - | NPPES |
| 0004946171 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15805001 (Virginia) | Primary |
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