NPI 1194310417

Jefferson Center for Mental Health

Organisation Substance Abuse Rehabilitation Facility Lakewood, CO

Practice location

Address: 421 Zang St, Lakewood, CO 80228-1052
Phone: (303) 989-4357
Fax: (303) 988-2017
Mailing address: 4851 Independence St, Wheat Ridge, CO 80033-6715

Authorised official

Name: David Goff
Title: Chief Financial Officer
Phone: (303) 432-5164

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

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Substance Use Disorder Rehabilitation Hospital Unit

Hospital Units Taxonomy 276400000X

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Registry record

NPI: 1194310417
Entity type: Organization
NPI issued: 8 Mar 2021
Record last updated: 9 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.