| 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 |
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 |