| Family Preservation Services, Inc | |
|
5393 Snow Creek Rd Penhook VA 24137-1388 | |
| (540) 344-7048 | |
| (540) 344-7162 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5393 Snow Creek Rd, Penhook, 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 5393 Snow Creek Rd Penhook VA 24137-1388 Ph: (540) 344-7048 |
| NPI Number | 1013154905 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013154905 | NPI | - | NPPES |
| 158 02 029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |