Family Preservation Services, Inc
Organization Active NPI Community/Behavioral Health Agency · Hiltons, VA
NPI 1962649004 · NPPES record last updated Jan 12, 2009
Key facts
- NPI
- 1962649004
- 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
- 303 Academy Rd
Hiltons, VA 24258-6067 - Phone
- (276) 431-7214
- Fax
- (276) 431-7215
- NPI assigned
- Jan 12, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael C Fidgeon
- Title
- Coo
- Phone
- (540) 710-6085
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Family Preservation Services Inc
Locations
303 Academy Rd
Hiltons, VA 24258
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 158 02 029 | VA | Yes |
Addresses
Primary practice location
303 Academy Rd
Hiltons, VA 24258-6067
Mailing address
10304 Spotsylvania Ave
3Rd Floor
Fredericksburg, VA 22408-8602
Phone (540) 710-6085
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158 02 029 | Medicaid | VA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.