NPI 1063141661
Individual Dynamics
Practice location
- Address
- 4750 S Santa Fe Cir STE 5, Englewood, CO 80110-6493
- Phone
- (720) 468-0896
- Mailing address
- 4575 Galley Rd STE 100d, Colorado Springs, CO 80915-2747
Authorised official
- Name
- Kevin Graves
- Title
- President/Coo
- Phone
- (720) 295-5559
Registered specialties (4)
Developmentally Disabled Services Day Training Agency
Primary
Early Intervention Provider Agency
Respite Care
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1063141661
- Entity type
- Organization
- NPI issued
- 8 Jun 2022
- Record last updated
- 8 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.