Organization
FAMILY PRESEVATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C. FIDGEON (CEO)
(540) 710-6085
Entity
Organization
Contact information
Practice address
134 WILDEN ST, MARION, VA 24354-3338
(276) 623-9245
(276) 623-1183
Mailing address
10304 SPOTSYLVANIA AVE, 3RD FLOOR, FREDERICKSBURG, VA 22408-8602
(540) 710-6085
(540) 710-6447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
158-02-029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15802029
—
VA
Enumeration date
07/21/2008
Last updated
07/21/2008
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