Family Preservation Services, Inc. | |
30347 North Madison Road New Canton VA 23123 | |
(434) 392-3328 | |
(434) 392-3235 |
Full Name | Family Preservation Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 30347 North Madison Road, New Canton, 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. 30347 North Madison Road New Canton VA 23123 Ph: (434) 392-3328 |
NPI Number | 1457664203 |
---|---|
Provider Enumeration Date | 07/22/2010 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457664203 | NPI | - | NPPES |
158 02 029 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |
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Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Gold Hill Elementary School Rd, New Canton, VA 23123 Phone: 434-392-3328 Fax: 434-392-3235 |