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Jefferson Center for Mental Health

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Wheat Ridge, CO

NPI 1457027062 · NPPES record last updated Aug 23, 2021

Key facts

NPI
1457027062
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
JEFFERSON CENTER FOR MENTAL HEALTH
Practice address
7495 West 29TH Avenue
Wheat Ridge, CO 80033-8002
Phone
(303) 425-4975
Fax
(303) 432-5920
NPI assigned
Aug 23, 2021
Organization subpart
No

Authorized official

Name
Mr. David Allen Goff
Title
Chief Financial Officer
Phone
(303) 425-0300

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Jefferson Ctr Mental Health (57 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

7495 West 29TH Avenue
Wheat Ridge, CO 80033-8002

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300

Other identifiers

IdentifierTypeStateIssuer
9000163985MedicaidCO

Other providers in Wheat Ridge, CO

All providers in Wheat Ridge, CO · Substance Use Disorder Rehabilitation Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.