Organization
THE DALE HOUSE PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LANGE REV (CO-EXECUTIVE DIRECTOR)
(719) 471-0642
Entity
Organization
Contact information
Practice address
802 N TEJON ST, COLORADO SPRINGS, CO 80903-3209
(719) 471-0642
Mailing address
7 W DALE ST, COLORADO SPRINGS, CO 80903-3209
(719) 471-0642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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