| Jefferson Center For Mental Health | |
|
15193 Highway 119 Black Hawk CO 80422-4072 | |
| (303) 425-0300 | |
| (303) 432-5071 |
| Full Name | Jefferson Center For Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15193 Highway 119, Black Hawk, Colorado |
| Authorized Official Name and Position | David Goff (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3034325164 |
| 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 15193 Highway 119 Black Hawk CO 80422-4072 Ph: (303) 425-0300 |
| NPI Number | 1881288041 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881288041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |