| Jefferson Center For Mental Health | |
|
31207 Keats Way Ste 202 Evergreen CO 80439-2220 | |
| (303) 432-5300 | |
| (303) 432-5350 |
| Full Name | Jefferson Center For Mental Health |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 31207 Keats Way Ste 202, Evergreen, Colorado |
| Authorized Official Name and Position | David A 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 Ste 200 Wheat Ridge CO 80033-6712 Ph: (303) 425-0300 | Jefferson Center For Mental Health 31207 Keats Way Ste 202 Evergreen CO 80439-2220 Ph: (303) 432-5300 |
| NPI Number | 1154627503 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 12/04/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154627503 | NPI | - | NPPES |
| 9000163981 | Medicaid | CO |
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