Jefferson Center For Mental Health

LBN: Jefferson Center For Mental Health
Jefferson Center For Mental Health is an health care organization with primary practice located at 31207 Keats Way Ste 202 , Evergreen CO 80439-2220. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Jefferson Center For Mental Health can be contacted via phone (303) 432-5300, or through Goff, David A via phone (303) 432-5164.

Contact Information

Primary practice address
31207 Keats Way Ste 202 Evergreen CO 80439-2220
Phone: (303) 432-5300
Fax: (303) 432-5350
Website:
Map and Directions
Authorized official contact:
Name: Goff, David A
Phone: (303) 432-5164

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 150413 Colorado
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1154627503
LBN Legal business name Jefferson Center For Mental Health
DBA Doing business as
Authorized official Goff, David A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2011
Last updated Dec 4th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154627503 NPPES
Colorado MEDICAID 9000163981

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