| Jefferson Center For Mental Health | |
|
1969 Miner Street Idaho Springs CO 80452 | |
| (303) 425-0300 | |
| (303) 432-5071 |
| Full Name | Jefferson Center For Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1969 Miner Street, Idaho Springs, 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 1969 Miner Street Idaho Springs CO 80452 Ph: (303) 425-0300 |
| NPI Number | 1598361297 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598361297 | NPI | - | NPPES |
| 48175234 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Family Connections, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Miner St, Suite 208, Idaho Springs, CO 80452 Phone: 719-580-0808 Fax: 303-723-8787 | |
Jefferson Center For Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1969 Miner Street, Idaho Springs, CO 80452 Phone: 303-425-0300 Fax: 303-567-3132 |