Provider Demographics
NPI:1518284207
Name:FAMILY ADVOCACY, CARE, EDUCATION, SUPPORT
Entity Type:Organization
Organization Name:FAMILY ADVOCACY, CARE, EDUCATION, SUPPORT
Other - Org Name:FAMILY AND COMMUNITY EDUCATION & SUPPORT, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-570-9333
Mailing Address - Street 1:3801 E FLORIDA AVE
Mailing Address - Street 2:SUITE 715
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2571
Mailing Address - Country:US
Mailing Address - Phone:720-570-9333
Mailing Address - Fax:710-570-9339
Practice Address - Street 1:3801 E FLORIDA AVE
Practice Address - Street 2:SUITE 715
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2571
Practice Address - Country:US
Practice Address - Phone:720-570-9333
Practice Address - Fax:710-570-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO732251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health