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Organization

MESA DEVELOPMENTAL SERVICES

Active
Other names
Strive
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER BERGQUIST (CHIEF FINANCIAL OFFICER)
(970) 256-8603
Entity
Organization

Contact information

Practice address
950 GRAND AVE, GRAND JUNCTION, CO 81501-3451
(970) 243-3702
(970) 243-7751
Mailing address
950 GRAND AVE, GRAND JUNCTION, CO 81501-3451
(970) 243-3702
(970) 243-7751

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09143991
CO
05
09145517
CO
05
9000115470
CO
Enumeration date
04/03/2017
Last updated
04/03/2017
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