Family Preservation Services, Inc. | |
53 Pruner St Lebanon VA 24266-4235 | |
(276) 963-3606 | |
(276) 963-3747 |
Full Name | Family Preservation Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 53 Pruner St, Lebanon, Virginia |
Authorized Official Name and Position | Allison Sampson-jackson (VA STATE DIRECTOR) |
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. 53 Pruner St Lebanon VA 24266-4235 Ph: (276) 963-3606 |
NPI Number | 1952712663 |
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Provider Enumeration Date | 05/15/2014 |
Last Update Date | 05/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952712663 | NPI | - | NPPES |
158 02 014 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 158 02 014 (Virginia) | Primary |
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