Green Space Cooperative Ltd

NPI #1790557148 in Boulder, Colorado

Provider Information

NPI Number
1790557148
Entity Type
Organization
Organization Name
Green Space Cooperative Ltd
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 27, 2023
Last Updated
Oct 27, 2023

Practice Location

Address
1942 BROADWAY STE 314C
ZIP Code
80302-5233
Phone
(719) 286-0059

Authorized Official

Name
JADE PHINN, LSW
Title
CEO
Phone
(719) 286-0058

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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