# JEFFERSON CENTER FOR MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFERSON CENTER FOR MENTAL HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659054260
- **Legal business name:** JEFFERSON CENTER FOR MENTAL HEALTH
- **Authorized official:** DAVID ALLEN GOFF (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (303) 432-5164

## Contact information

- **Practice address:** 421 ZANG ST, LAKEWOOD, CO 80228-1052
- **Practice address phone:** (303) 425-0300
- **Mailing address:** 4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
- **Mailing address phone:** (303) 425-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 08/31/2023