Family Preservation Services, Inc | |
400 Red House Rd Phenix VA 23959-2906 | |
(434) 696-4633 | |
(434) 696-4634 |
Full Name | Family Preservation Services, Inc |
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Speciality | Community/behavioral Health |
Location | 400 Red House Rd, Phenix, Virginia |
Authorized Official Name and Position | Michael C Fidgeon (CEO) |
Authorized Official Contact | 5407106085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Preservation Services, Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 400 Red House Rd Phenix VA 23959-2906 Ph: (434) 696-4633 |
NPI Number | 1669637500 |
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Provider Enumeration Date | 07/21/2008 |
Last Update Date | 07/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669637500 | NPI | - | NPPES |
15802029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 158-02-029 (Virginia) | Primary |