Provider Demographics
NPI:1174608129
Name:HOMEBASE TREATMENT & CONTRACTING SERVICES
Entity type:Organization
Organization Name:HOMEBASE TREATMENT & CONTRACTING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:BEA
Authorized Official - Last Name:FABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CAC III
Authorized Official - Phone:303-465-2033
Mailing Address - Street 1:7601 E 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8426
Mailing Address - Country:US
Mailing Address - Phone:303-465-2033
Mailing Address - Fax:303-458-1059
Practice Address - Street 1:7601 E 130TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-8426
Practice Address - Country:US
Practice Address - Phone:303-465-2033
Practice Address - Fax:303-458-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty