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
DAVID ALLEN GOFF (CHIEF FINANCIAL OFFICER)
(303) 432-5164
Entity
Organization
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/31/2023
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