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Organization

MESA DEVELOPMENTAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. 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) 256-8637
(970) 243-7751

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09145517
CO
Enumeration date
04/09/2007
Last updated
11/15/2021
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