Organization
JEFFERSON CENTER FOR MENTAL HEALTH
Active
Parent organization
JEFFERSON CENTER FOR MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON CENTER FOR MENTAL HEALTH
Authorized official
MR. DAVID GOFF (CHIEF FINANCIAL OFFICER)
(303) 432-5164
Entity
Organization
Contact information
Practice address
405 ARGENTINE ST, GEORGETOWN, CO 80444-5051
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST STE 100, WHEAT RIDGE, CO 80033-6711
(303) 425-0300
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000158444
—
CO
Enumeration date
04/21/2023
Last updated
04/21/2023
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