| Jefferson Center For Mental Health | |
|
7495 W 29th Ave Wheat Ridge CO 80033-8002 | |
| (303) 425-4975 | |
| (303) 432-5920 |
| Full Name | Jefferson Center For Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7495 W 29th Ave, Wheat Ridge, Colorado |
| Authorized Official Name and Position | David Goff (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3034250300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Center For Mental Health 4851 Independence St Wheat Ridge CO 80033-6715 Ph: (303) 425-0300 | Jefferson Center For Mental Health 7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 425-4975 |
| NPI Number | 1255007852 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255007852 | NPI | - | NPPES |
| 47175231 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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