Family Preservation Services, Inc. | |
300 Preston Ave Suite 206 Charlottesville VA 22902-5044 | |
(434) 293-4262 | |
(434) 293-3077 |
Full Name | Family Preservation Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 300 Preston Ave, Charlottesville, 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. 300 Preston Ave Suite 206 Charlottesville VA 22902-5044 Ph: (434) 293-4262 |
NPI Number | 1053599399 |
---|---|
Provider Enumeration Date | 02/08/2008 |
Last Update Date | 02/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053599399 | 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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