Family Preservation Services, Inc | |
117 Independence Avenue Wise VA 24293 | |
(276) 328-4419 | |
(276) 328-4420 |
Full Name | Family Preservation Services, Inc |
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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 |
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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 | 1871724492 |
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Provider Enumeration Date | 07/30/2009 |
Last Update Date | 07/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871724492 | 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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Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 School Street, Wise, VA 24293 Phone: 276-679-1045 Fax: 276-679-1047 | |
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 | |
Psych Wise Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 Beverly Ave. Sw, Wise, VA 24293 Phone: 276-870-0917 | |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Birchfield Rd, Wise, VA 24293 Phone: 276-679-1045 Fax: 276-679-1047 |