| Family Preservation Services, Inc | |
|
603 W Morgan Ave Pennington Gap VA 24277-2100 | |
| (276) 431-7214 | |
| (276) 431-7215 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 603 W Morgan Ave, Pennington Gap, Virginia |
| Authorized Official Name and Position | Michael C Fidgeon (COO) |
| 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 603 W Morgan Ave Pennington Gap VA 24277-2100 Ph: (276) 431-7214 |
| NPI Number | 1659502326 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659502326 | NPI | - | NPPES |
| 158 03 002 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158 03 002 (Virginia) | Primary |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Middle School Dr, Pennington Gap, VA 24277 Phone: 276-431-7214 Fax: 276-431-7215 | |
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Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W Morgan Ave, Pennington Gap, VA 24277 Phone: 276-431-7214 Fax: 276-431-7215 | |
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