Family Preservation Services, Inc. | |
11120 Leavells Rd Fredericksburg VA 22407-5014 | |
(540) 710-5810 | |
(540) 710-0203 |
Full Name | Family Preservation Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 11120 Leavells Rd, Fredericksburg, 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. 11120 Leavells Rd Fredericksburg VA 22407-5014 Ph: (540) 710-5810 |
NPI Number | 1063725885 |
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Provider Enumeration Date | 07/21/2010 |
Last Update Date | 07/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063725885 | NPI | - | NPPES |
158 02 029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |
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Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10304 Spotsylvania Ave Fl 3, Fredericksburg, VA 22408 Phone: 540-710-6085 Fax: 540-710-6447 | |
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