Family Preservation Services, Inc | |
351 Commonwealth Blvd E Martinsville VA 24112-1917 | |
(276) 632-1113 | |
(276) 632-0923 |
Full Name | Family Preservation Services, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 351 Commonwealth Blvd E, Martinsville, Virginia |
Authorized Official Name and Position | Michael C Fidgeon (COO) |
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 351 Commonwealth Blvd E Martinsville VA 24112-1917 Ph: (276) 632-1113 |
NPI Number | 1730326638 |
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Provider Enumeration Date | 01/14/2009 |
Last Update Date | 01/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730326638 | 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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