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
5801 W ALAMEDA AVE, LAKEWOOD, CO 80226-3583
(303) 425-0300
(303) 432-5071
Mailing address
4851 INDEPENDENCE ST STE 200, WHEAT RIDGE, CO 80033-6712
(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)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41175239
—
CO
Enumeration date
06/30/2010
Last updated
12/04/2020
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