NPI 1427611086

Mesa Developmental Services

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

Practice location

Address: 2865 Victoria Dr, Grand Junction, CO 81503-2162
Phone: (970) 424-5440
Mailing address: 790 Wellington Ave, Grand Junction, CO 81501-6126

Authorised official

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

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Colorado →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Colorado →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Colorado →

Registry record

NPI: 1427611086
Entity type: Organization
NPI issued: 19 Apr 2019
Record last updated: 30 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.