Organization
MESA DEVELOPMENTAL SERVICES
Active
Other names
Strive
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE A BURNS (ACCOUNTANT)
(970) 256-8637
Entity
Organization
Contact information
Practice address
950 GRAND AVE, GRAND JUNCTION, CO 81501
(970) 256-8637
Mailing address
950 GRAND AVE, GRAND JUNCTION, CO 81501-3451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0003377
CO
225X00000X
Occupational Therapist
OT.0002450
CO
235Z00000X
Speech-Language Pathologist
SLP.0001244
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17306361
—
CO
Enumeration date
06/11/2018
Last updated
06/13/2018
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