Whalio Doctors

NPI 1083177315

Mesa Developmental Services

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

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
Residential Treatment Facilities Taxonomy 320900000X

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.