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
8640 W JEWELL AVE, LAKEWOOD, CO 80232-6624
(303) 232-8047
(303) 232-1979
Mailing address
4851 INDEPENDENCE ST STE 200, WHEAT RIDGE, CO 80033-6712
(303) 432-5181
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51175231
—
CO
Enumeration date
12/11/2020
Last updated
12/18/2020
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