National Provider Identifier Database

JEFFERSON CENTER FOR MENTAL HEALTH
Rehabilitation, Substance Use Disorder


Contact Information

JEFFERSON CENTER FOR MENTAL HEALTH
405 ARGENTINE ST
GEORGETOWN, CO80444-5051
Phone: 303-425-0300
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Community/Behavioral Health 251S00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for JEFFERSON CENTER FOR MENTAL HEALTH

NPI Number 1588351308
Legal business name
LBN
JEFFERSON CENTER FOR MENTAL HEALTH
Authorized official DAVID GOFF - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/21/2023
Last updated 04/21/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 9000158444

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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