Family Preservation Services, Inc. | |
201 Middle School Dr Pennington Gap VA 24277-1702 | |
(276) 431-7214 | |
(276) 431-7215 |
Full Name | Family Preservation Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 201 Middle School Dr, Pennington Gap, Virginia |
Authorized Official Name and Position | Michael 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. 201 Middle School Dr Pennington Gap VA 24277-1702 Ph: (276) 431-7214 |
NPI Number | 1023146727 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023146727 | NPI | - | NPPES |
15802029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 15802029 (Virginia) | Primary |
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