Mesa Developmental Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Junction, CO. Organization (NPI-2).
Details
- NPI
- 1083177315
- Entity type
- Organization (NPI-2)
- Legal business name
- Mesa Developmental Services
- Organization subpart
- No
- Enumeration date
- Apr 12, 2019
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- 1444 N. 23rd St (Other Name)
Practice location
1444 N 23rd StGrand Junction, CO 81501-6546
Phone 970-254-9378 · Fax 970-255-6462
Mailing address
790 Wellington AveGrand Junction, CO 81501-6126
Phone 970-256-8637
Authorized official
Christopher Brandon Bergquist
Cfo
9702568603
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All 12 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Grand Junction · All 4,673 providers in Grand Junction
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