NPI 1043873649
Mesa Developmental Services
Practice location
- Address
- 680 29 1/2 Rd, Grand Junction, CO 81504-5278
- Phone
- (970) 424-5442
- Mailing address
- 790 Wellington Ave, Grand Junction, CO 81501-6126
Authorised official
- Name
- Christopher Brandon Bergquist
- Title
- Cfo
- Phone
- (970) 256-8603
Registered specialties (3)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1043873649
- Entity type
- Organization
- NPI issued
- 18 Apr 2019
- Record last updated
- 30 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.