Organization
FAMILY PRESERVATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C FIDGEON (COO)
(540) 710-6085
Entity
Organization
Contact information
Practice address
2851 CARROLLTON PIKE, SUITE 4-A, WOODLAWN, VA 24381-3668
(276) 238-8885
(276) 238-8822
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 05 001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158 05 001
—
VA
Enumeration date
01/12/2009
Last updated
01/12/2009
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