Inn Between
Assisted Living Facility in Lakewood, CO. Organization (NPI-2).
NPI number1174765366
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1174765366
- Entity type
- Organization (NPI-2)
- Legal business name
- Inn Between
- Organization subpart
- Yes
- Enumeration date
- Apr 2, 2009
- Certification date
- Nov 10, 2020
- Last updated
- Dec 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 150413 | CO |
Other names
- Jefferson Center For Mental Health (Other Name)
Practice location
10295 W Keene AveLakewood, CO 80235-1104
Phone 303-980-4082 · Fax 303-980-4084
Mailing address
4851 Independence St Ste 200Wheat Ridge, CO 80033-6712
Phone 303-425-0300 · Fax 303-432-5071
Authorized official
David A Goff
Chief Financial Officer
3034325164
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