Family Preservation Services, Inc. | |
1000 School Cir La Crosse VA 23950-2210 | |
(434) 392-3328 | |
(434) 392-3235 |
Full Name | Family Preservation Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 1000 School Cir, La Crosse, 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 |
---|---|
Family Preservation Services, Inc. 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc. 1000 School Cir La Crosse VA 23950-2210 Ph: (434) 392-3328 |
NPI Number | 1396099602 |
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Provider Enumeration Date | 11/08/2012 |
Last Update Date | 11/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396099602 | 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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