| Family Preservation Services, Inc | |
|
1044 Otter River Dr Goode VA 24556-2605 | |
| (434) 528-9711 | |
| (434) 528-9716 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1044 Otter River Dr, Goode, Virginia |
| Authorized Official Name and Position | Jon D Morris (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 1044 Otter River Dr Goode VA 24556-2605 Ph: (434) 528-9711 |
| NPI Number | 1861887739 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861887739 | 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: 1044 Otter River Dr, Goode, VA 24556 Phone: 434-528-9711 Fax: 434-528-9716 |