NPI 1013570571

Mesa Developmental Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Clifton, CO

Practice location

Address: 3301 Laurel Ln, Clifton, CO 81520-8123
Phone: (970) 434-9738
Mailing address: 790 Wellington Ave, Grand Junction, CO 81501-6126

Authorised official

Name: Christopher Brandon Bergquist
Title: Cfo
Phone: (970) 256-8603

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1013570571
Entity type: Organization
NPI issued: 19 Apr 2019
Record last updated: 23 Jan 2020

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.