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
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
Enumeration date
04/09/2007
Last updated
04/18/2019
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