Organization
MESA DEVELOPMENTAL SERVICES DBA STRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT JACKSON (CEO)
(970) 256-8618
Entity
Organization
Contact information
Practice address
790 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6126
(970) 243-3702
(970) 243-7751
Mailing address
790 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6126
(970) 243-3702
(970) 243-7751
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90000142910
—
CO
Enumeration date
03/06/2007
Last updated
10/11/2022
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