Family Preservation Services, Inc. | |
63 Winding Ridge Rd Fancy Gap VA 24328-2822 | |
(276) 238-8885 | |
(276) 238-8822 |
Full Name | Family Preservation Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 63 Winding Ridge Rd, Fancy Gap, Virginia |
Authorized Official Name and Position | Michael C Fidgeon (COO) |
Authorized Official Contact | 5407116085 |
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. 63 Winding Ridge Rd Fancy Gap VA 24328-2822 Ph: (276) 238-8885 |
NPI Number | 1992936587 |
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Provider Enumeration Date | 07/31/2009 |
Last Update Date | 07/31/2009 |
Identifier | Type | State | Issuer |
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1992936587 | NPI | - | NPPES |
158 02 029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |