| Family Preservation Services, Inc. | |
|
3057 Colonial Ave Sw Roanoke VA 24015-4705 | |
| (540) 344-7048 | |
| (540) 344-7162 |
| Full Name | Family Preservation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3057 Colonial Ave Sw, Roanoke, 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. 3057 Colonial Ave Sw Roanoke VA 24015-4705 Ph: (540) 344-7048 |
| NPI Number | 1972631927 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972631927 | NPI | - | NPPES |
| 15802029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15802029 (Virginia) | Primary |
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