Organization
INDIVIDUAL DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE VACCARO (DIRECTOR)
(720) 295-5559
Entity
Organization
Contact information
Practice address
6105 S MAIN ST, SUITE 200, AURORA, CO 80016-5360
(720) 295-5559
Mailing address
4575 GALLEY RD, SUITE 400A, COLORADO SPRINGS, CO 80915-2750
(720) 295-5559
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/30/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up