Organization
GREEN SPACE COOPERATIVE LTD
Active
Other names
Green Space Co-Op Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JADE PHINN LSW (CEO)
(719) 286-0058
Entity
Organization
Contact information
Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(719) 286-0059
Mailing address
1424 N PEARL ST APT 305, DENVER, CO 80203-2027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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