| The Dale House Project | |
|
7 W Dale St Colorado Springs CO 80903-3209 | |
| (719) 471-0642 | |
| Not Available |
| Full Name | The Dale House Project |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7 W Dale St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Eric Lange (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7194710642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dale House Project 7 W Dale St Colorado Springs CO 80903-3209 Ph: (719) 471-0642 | The Dale House Project 7 W Dale St Colorado Springs CO 80903-3209 Ph: (719) 471-0642 |
| NPI Number | 1619688918 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619688918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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