Organization
MESA DEVELOPMENTAL SERVICES
Active
Organization
MESA DEVELOPMENTAL SERVICES
Active
Other names
Strive
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BRANDON BERGQUIST (CEO)
(970) 256-8603
Entity
Organization
Contact information
Practice address
2865 VICTORIA DR, GRAND JUNCTION, CO 81503-2162
(970) 424-5440
Mailing address
790 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6126
(970) 243-3702
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90000115470
—
CO
Enumeration date
04/19/2019
Last updated
01/30/2020
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