# MENTAL HEALTH CENTER OF DENVER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MENTAL HEALTH CENTER OF DENVER
- **Other names:** MHCD Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952394207
- **Legal business name:** MENTAL HEALTH CENTER OF DENVER
- **Authorized official:** ROBERT CARL CLARK MD (PRESIDENT AND CEO)
- **Authorized official phone:** (303) 504-6500

## Contact information

- **Practice address:** 4455 E 12TH AVE, DENVER, CO 80220-2415
- **Practice address phone:** (303) 504-7799
- **Practice address fax:** (303) 512-8860
- **Mailing address:** 4141 E DICKENSON PL, DENVER, CO 80222-6012
- **Mailing address phone:** (303) 504-7799
- **Mailing address fax:** (303) 512-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 576 | CO | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 01/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0619203 | NCPDP | — |
| 05 | — | 88522229 | — | CO |