| Family Preervation Services, Inc | |
|
2102 Grandin Rd Sw Roanoke VA 24015-3528 | |
| (540) 344-7048 | |
| (540) 344-7162 |
| Full Name | Family Preervation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2102 Grandin Rd Sw, Roanoke, 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 Preervation Services, Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preervation Services, Inc 2102 Grandin Rd Sw Roanoke VA 24015-3528 Ph: (540) 344-7048 |
| NPI Number | 1164675948 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164675948 | 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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