Organization
MESA DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT JACKSON (PRESIDENT/CEO)
(970) 256-8618
Entity
Organization
Contact information
Practice address
790 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6126
(970) 256-8637
(970) 255-7445
Mailing address
790 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6126
(970) 256-8608
(970) 255-7445
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
08/31/2021
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