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Organization

JEFFERSON CENTER FOR MENTAL HEALTH

Active
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Organization

JEFFERSON CENTER FOR MENTAL HEALTH

Active
Parent organization
JEFFERSON CENTER FOR MENTAL HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
JEFFERSON CENTER FOR MENTAL HEALTH
Authorized official
DAVID ALLEN GOFF (CHIEF FINANCIAL OFFICER)
(303) 432-5164
Entity
Organization

Contact information

Practice address
4643 WADSWORTH BLVD, WHEAT RIDGE, CO 80033-3305
(303) 463-7400
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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