NPI 1083177315
Mesa Developmental Services
Practice location
- Address
- 1444 N 23rd St, Grand Junction, CO 81501-6546
- Phone
- (970) 254-9378
- Fax
- (970) 255-6462
- 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 Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1083177315
- Entity type
- Organization
- NPI issued
- 12 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.