Organization
OFFENDER SERVICES, INC
Active
Other names
Caprock Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK L ANDERSEN PSY D (EXEC DIRECTOR)
(970) 243-8220
Entity
Organization
Contact information
Practice address
389 ROBERTS COURT, GRAND JUNCTION, CO 81504-6155
(970) 243-8220
(970) 243-1511
Mailing address
389 ROBERTS COURT, GRAND JUNCTION, CO 81504-6155
(970) 243-8220
(970) 243-1511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
148631
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96822732
MEDICAID PROVIDER NUMBER
CO
Enumeration date
02/24/2016
Last updated
01/12/2022
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