| Jcmh Indy Corner - C | |
|
9595 W 49th Ave Wheat Ridge CO 80033-2279 | |
| (303) 425-0300 | |
| Not Available |
| Full Name | Jcmh Indy Corner - C |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9595 W 49th Ave, Wheat Ridge, Colorado |
| Authorized Official Name and Position | David Allen Goff (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3034325164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcmh Indy Corner - C 4851 Independence St Wheat Ridge CO 80033-6715 Ph: (303) 425-0300 | Jcmh Indy Corner - C 9595 W 49th Ave Wheat Ridge CO 80033-2279 Ph: (303) 425-0300 |
| NPI Number | 1104660794 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104660794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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