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Family Preservation Services, Inc

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

NPI 1407094840 · NPPES record last updated Jan 22, 2009

Key facts

NPI
1407094840
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
23894 US Hwy 58
Castlewood, VA 24224
Phone
(276) 963-3606
Fax
(276) 963-3747
NPI assigned
Jan 22, 2009
Organization subpart
No

Authorized official

Name
Mr. Michael C Fidgeon
Title
Coo
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

23894 US Highway 58
Castlewood, VA 24224

Specialties & licenses

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

Addresses

Primary practice location

23894 US Hwy 58
Castlewood, VA 24224

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
158 02 029MedicaidVA

Other providers in Castlewood, VA

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

Sources for this page

Verify at the official NPI Registry.