Organization
ALANO HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY EDWARD HAZEN MA LCP CACIII SMC (CLINICAL DIRECTOR)
(719) 520-1732
Entity
Organization
Contact information
Practice address
1020 E JEFFERSON ST, COLORADO SPRINGS, CO 80907-7125
(719) 520-1732
(719) 473-8120
Mailing address
1020 E JEFFERSON ST, COLORADO SPRINGS, CO 80907-7125
(719) 520-1732
(719) 473-8120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1683-00
CO
Other
Enumeration date
05/13/2012
Last updated
05/13/2012
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