MESA DEVELOPMENTAL SERVICES NPI 1083177315

NPI Information

MESA DEVELOPMENTAL SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Grand Junction, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MESA DEVELOPMENTAL SERVICES NPI is 1083177315. The provider is registered as an organization entity type.
The provider Other Name Is 1444 N. 23rd St.

The provider's business location address is:

1444 N 23RD ST
GRAND JUNCTION, CO
ZIP 81501-546
Phone: (970) 254-9378
Fax: (970) 255-6462

The provider's authorized official is Christopher Brandon Bergquist .
The authorized official title is Cfo and has the following contact phone number (970) 256-8603.

The enumeration date for this NPI number is 4/12/2019 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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