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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 A GOFF (CHIEF FINANCIAL OFFICER)
(303) 432-5164
Entity
Organization
Contact information
Practice address
10295 W KEENE AVE, LAKEWOOD, CO 80235-1104
(303) 980-4082
(303) 980-4084
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
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
—
45175233
—
CO
Enumeration date
01/05/2021
Last updated
01/05/2021
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