Family Preservation Services, Inc. | |
400 Lorraine Ave Fredericksburg VA 22408-1929 | |
(540) 710-5810 | |
(540) 710-0203 |
Full Name | Family Preservation Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 400 Lorraine Ave, 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. 400 Lorraine Ave Fredericksburg VA 22408-1929 Ph: (540) 710-5810 |
NPI Number | 1811280456 |
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Provider Enumeration Date | 05/16/2011 |
Last Update Date | 05/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811280456 | NPI | - | NPPES |
058 02 029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |
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