{"npi":"1083177315","type":"NPI-2","status":"active","name":{"display":"Mesa Developmental Services","other":[],"organization_name":"MESA DEVELOPMENTAL SERVICES","authorised_official":"Christopher Bergquist"},"specialty":{"primary_taxonomy":"320900000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-community-based-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1444 N 23RD ST","city":"GRAND JUNCTION","state":"CO","postal_code":"815016546","country_code":"US","phone":"9702549378","fax":"9702556462"},{"purpose":"MAILING","street_1":"790 WELLINGTON AVE","city":"GRAND JUNCTION","state":"CO","postal_code":"815016126","country_code":"US","phone":"9702568637"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"76135098","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-04-12","last_updated":"2021-08-30","_meta":{"source":"NPPES","snapshot_date":"2021-08-30","doc_url":"https://findmynpi.com/api"}}