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Family Preservation Services, Inc

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

NPI 1407091952 · NPPES record last updated Dec 12, 2008

Key facts

NPI
1407091952
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
507 Miller St
Burkeville, VA 23922-3016
Phone
(434) 696-4633
Fax
(434) 696-4634
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

507 Miller St
Burkeville, VA 23922

Specialties & licenses

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

Addresses

Primary practice location

507 Miller St
Burkeville, VA 23922-3016

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
158 02 029MedicaidVA

Other providers in Burkeville, VA

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

Sources for this page

Verify at the official NPI Registry.