| NPI | 1790557148 |
|---|---|
| Doing Business As | GREEN SPACE CO-OP THERAPY |
| Entity Type | Organization |
| Authorized Contact | JADE PHINN CEO 719-286-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |