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Organization
JEFFERSON CENTER FOR MENTAL HEALTH
Active
Organization
JEFFERSON CENTER FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GOFF (CHIEF FINANCIAL OFFICER)
(303) 425-0300
Entity
Organization
Contact information
Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 425-4975
(303) 432-5920
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47175231
—
CO
Enumeration date
08/23/2021
Last updated
08/23/2021
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