Whalio Doctors

NPI 1043873649

Mesa Developmental Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Grand Junction, CO

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
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

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.