| Individual Dynamics | |
|
6105 S Main St Ste 200 Aurora CO 80016-5361 | |
| (720) 295-5559 | |
| Not Available |
| Full Name | Individual Dynamics |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6105 S Main St Ste 200, Aurora, Colorado |
| Authorized Official Name and Position | Kevin Graves (PRESIDENT/COO) |
| Authorized Official Contact | 7202955559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual Dynamics 4575 Galley Rd Ste 100d Colorado Springs CO 80915-2747 Ph: (720) 295-5559 | Individual Dynamics 6105 S Main St Ste 200 Aurora CO 80016-5361 Ph: (720) 295-5559 |
| NPI Number | 1184203754 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 04/02/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184203754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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