| Family Preservation Services, Inc. | |
|
1220 5th St Nw Roanoke VA 24016-1050 | |
| (540) 344-9501 | |
| (540) 344-7162 |
| Full Name | Family Preservation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1220 5th St Nw, Roanoke, 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. 1220 5th St Nw Roanoke VA 24016-1050 Ph: (540) 344-9501 |
| NPI Number | 1275866790 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275866790 | 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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