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NPI Code Detail

MEDICARE: FAMILY PRESERVATION SERVICES OF DC

MEDICARE: FAMILY PRESERVATION SERVICES OF DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891822557
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PRESERVATION SERVICES OF DC
Provider Business Mailing Address
First Line : 10304 SPOTSYLVANIA AVE
Second Line : STE 300
City : FREDERICKSBURG
State : VA
Zip : 22408-8602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3341 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1502
Country : US
Telephone Number : 202-543-0387
Fax Number : 202-543-2758
Authorized Official
Title or Position : CONTRACT ADMINISTRATOR
Name : MR. NANCY POE
Credential :
Telephone Number : 520-570-1460
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/18/2024

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Directions to “FAMILY PRESERVATION SERVICES OF DC ” Practice Location

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