Organization
MESA DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA PISCIOTTE (EXECUTIVE DIRECTOR)
(970) 243-3702
Entity
Organization
Contact information
Practice address
950 GRAND AVE, GRAND JUNCTION, CO 81501-3451
(970) 243-3702
(970) 243-7751
Mailing address
950 GRAND AVE, GRAND JUNCTION, CO 81501-3451
(970) 243-3702
(970) 243-7751
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09143991
—
CO
Enumeration date
04/09/2007
Last updated
08/22/2020
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