| Family Preservation Services, Inc. | |
|
117 Independence Avenue Wise VA 24293 | |
| (276) 328-4419 | |
| (276) 328-4420 |
| Full Name | Family Preservation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 Independence Avenue, Wise, 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. 117 Independence Avenue Wise VA 24293 Ph: (276) 328-4419 |
| NPI Number | 1477784148 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477784148 | NPI | - | NPPES |
| 158 05 001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158 05 001 (Virginia) | Primary |
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Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Hurricane Rd, Wise, VA 24293 Phone: 276-679-1045 Fax: 276-679-1047 | |
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