| Family Preservation Services, Inc | |
|
3401 Old Halifax Rd South Boston VA 24592-4951 | |
| (434) 572-8598 | |
| (434) 572-6282 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3401 Old Halifax Rd, South Boston, 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 |
|---|---|
| Family Preservation Services, Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 3401 Old Halifax Rd South Boston VA 24592-4951 Ph: (434) 572-8598 |
| NPI Number | 1962658211 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962658211 | NPI | - | NPPES |
| 158-03-002 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158-03-002 (Virginia) | Primary |
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