| Family Preservation Services, Inc. | |
|
5015 Patrick Henry Hwy Charlotte Court House VA 23923-3604 | |
| (434) 696-4633 | |
| (434) 696-4634 |
| Full Name | Family Preservation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5015 Patrick Henry Hwy, Charlotte Court House, 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 Preservation Services, Inc. 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc. 5015 Patrick Henry Hwy Charlotte Court House VA 23923-3604 Ph: (434) 696-4633 |
| NPI Number | 1205091147 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205091147 | NPI | - | NPPES |
| 15802029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158-02-029 (Virginia) | Primary |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 577 David Bruce Avenue, Charlotte Court House, VA 23923 Phone: 434-696-4633 Fax: 434-696-4634 | |
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Mental Health Community Based Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 George Washington Hwy, Charlotte Court House, VA 23923 Phone: 434-542-5448 Fax: 434-542-5448 | |
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