| Family Preservation Services | |
|
165 Grannys Rd Pounding Mill VA 24637-4025 | |
| (276) 963-3606 | |
| (276) 963-3747 |
| Full Name | Family Preservation Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 165 Grannys Rd, Pounding Mill, 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 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services 165 Grannys Rd Pounding Mill VA 24637-4025 Ph: (276) 963-3606 |
| NPI Number | 1518140110 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518140110 | NPI | - | NPPES |
| 158-03-002 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158-03-002 (Virginia) | Primary |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 Fax: 276-963-3747 |