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Family Preservation Services, Inc

Organization Active NPI Community/Behavioral Health Agency · Fairfield, VA

NPI 1265677637 · NPPES record last updated Dec 12, 2008

Key facts

NPI
1265677637
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
158 02 029 (VA)
Legal business name
FAMILY PRESERVATION SERVICES, INC
Practice address
20 Fairfield School Rd
Fairfield, VA 24435
Phone
(540) 248-5510
Fax
(540) 248-5509
NPI assigned
Dec 12, 2008
Organization subpart
No

Authorized official

Name
Mr. Michael C Fidgeon
Title
Ceo
Phone
(540) 710-6085

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Family Preservation Services Inc (134 organizations share this tax ID)

Locations

20 Fairfield School Rd
Fairfield, VA 24435

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 158 02 029 VA Yes

Addresses

Primary practice location

20 Fairfield School Rd
Fairfield, VA 24435

Mailing address

10304 Spotsylvania Ave
3Rd Floor
Fredericksburg, VA 22408-8602
Phone (540) 710-6085

Other identifiers

IdentifierTypeStateIssuer
158 02 029MedicaidVA

Other providers in Fairfield, VA

All providers in Fairfield, VA · Community/Behavioral Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.