| Homebase | |
|
7601 E 130th Ave Thornton CO 80602-8426 | |
| (303) 465-2033 | |
| (303) 458-1059 |
| Full Name | Homebase |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7601 E 130th Ave, Thornton, Colorado |
| Authorized Official Name and Position | Brenda Bea Fabian (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3034652033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homebase 7601 E 130th Ave Thornton CO 80602-8426 Ph: (303) 465-2033 | Homebase 7601 E 130th Ave Thornton CO 80602-8426 Ph: (303) 465-2033 |
| NPI Number | 1174608129 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174608129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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