| Jefferson Center For Mental Health | |
| 
					31207 Keats Way Ste 202 Evergreen CO 80439-2220  | |
| (303) 425-0300 | |
| Not Available | 
| Full Name | Jefferson Center For Mental Health | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 31207 Keats Way Ste 202, Evergreen, Colorado | 
| Authorized Official Name and Position | David Allen 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 31207 Keats Way Ste 202 Evergreen CO 80439-2220 Ph: (303) 425-0300  | 
| NPI Number | 1144064742 | 
|---|---|
| Provider Enumeration Date | 06/20/2024 | 
| Last Update Date | 06/20/2024 | 
| Certification Date | 06/19/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144064742 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
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