| Family Preservation Services, Inc | |
|
33474 Stagecoach Rd Glade Spring VA 24340-5154 | |
| (276) 623-9245 | |
| (276) 623-1183 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33474 Stagecoach Rd, Glade Spring, Virginia |
| Authorized Official Name and Position | Michael C 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 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 33474 Stagecoach Rd Glade Spring VA 24340-5154 Ph: (276) 623-9245 |
| NPI Number | 1174774269 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174774269 | 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: 337 N Glade St, Glade Spring, VA 24340 Phone: 276-238-8885 Fax: 276-238-8822 |