Organization
MENTAL HEALTH CENTER OF DENVER
Active
Parent organization
MENTAL HEALTH CENTER OF DENVER
Other names
MHCD Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTAL HEALTH CENTER OF DENVER
Authorized official
ROBERT CARL CLARK MD (PRESIDENT AND CEO)
(303) 504-6500
Entity
Organization
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7799
(303) 512-8860
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-7799
(303) 512-8860
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
576
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619203
NCPDP
—
05
—
88522229
—
CO
Enumeration date
08/23/2005
Last updated
01/24/2023
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