MEDICARE: MENTAL HEALTH CENTER OF DENVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1841886314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH CENTER OF DENVER

Provider Business Mailing Address
First Line	:	4141 E DICKENSON PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 S HOOKER ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-4605
Country	:	US
Telephone Number	:	303-504-7700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	ROBERT CARL CLARK
Credential	:	M.D.
Telephone Number	:	303-504-6500

Provider Enumeration Date	:	12/17/2020
Last Update Date	:	01/24/2023

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Directions to “MENTAL HEALTH CENTER OF DENVER ” Practice Location

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