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Contact Information

JEFFERSON CENTER FOR MENTAL HEALTH
405 ARGENTINE ST
GEORGETOWN, CO80444-5051
 Phone: 303-425-0300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
 

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for JEFFERSON CENTER FOR MENTAL HEALTH

NPI # 1588351308
LBN Legal business name JEFFERSON CENTER FOR MENTAL HEALTH
Authorized official DAVID GOFF - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/21/2023
Last updated 04/21/2023 - About 3 years ago
Identifiers
CO Medicaid 9000158444
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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