| Family Preservation Services, Inc. | |
|
515 Hurricane Rd Wise VA 24293-5501 | |
| (276) 679-1045 | |
| (276) 679-1047 |
| Full Name | Family Preservation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 515 Hurricane Rd, Wise, Virginia |
| Authorized Official Name and Position | Michael C Fidgeon (PRESIDENT) |
| 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. 515 Hurricane Rd Wise VA 24293-5501 Ph: (276) 679-1045 |
| NPI Number | 1366788507 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366788507 | 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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