NPI 1124362868
Mesa Developmental Services
Practice location
- Address
- 790 Wellington Ave, Grand Junction, CO 81501-6126
- Phone
- (970) 256-8637
- Fax
- (970) 255-7445
Authorised official
- Name
- Grant Jackson
- Title
- President/Ceo
- Phone
- (970) 256-8618
Registered specialties (2)
Early Intervention Provider Agency
Primary
Case Management Agency
Registry record
- NPI
- 1124362868
- Entity type
- Organization
- NPI issued
- 19 Nov 2012
- Record last updated
- 31 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.