Organization
JEFFERSON CENTER FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN GOFF (CHIEF FINANCIAL OFFICER)
(303) 425-0300
Entity
Organization
Contact information
Practice address
7495 WEST 29TH AVENUE, 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) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000163985
—
CO
Enumeration date
08/23/2021
Last updated
08/23/2021
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