Organization
INDIVIDUAL DYNAMICS
Active
Parent organization
INDIVIDUAL DYNAMICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIVIDUAL DYNAMICS
Authorized official
KEVIN GRAVES (PRESIDENT/COO)
(720) 295-5559
Entity
Organization
Contact information
Practice address
6105 S MAIN ST STE 200, AURORA, CO 80016-5361
(720) 295-5559
Mailing address
4575 GALLEY RD STE 100D, COLORADO SPRINGS, CO 80915-2747
(720) 295-5559
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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