| Family Presevation Services, Inc. | |
|
134 Wilden St Marion VA 24354-3338 | |
| (276) 623-9245 | |
| (276) 623-1183 |
| Full Name | Family Presevation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 134 Wilden St, Marion, 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 Presevation Services, Inc. 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Presevation Services, Inc. 134 Wilden St Marion VA 24354-3338 Ph: (276) 623-9245 |
| NPI Number | 1770748659 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770748659 | NPI | - | NPPES |
| 15802029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158-02-029 (Virginia) | Primary |
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