| Green Thumb Initiative | |
|
613 Main St Ste 10 Canon City CO 81212-3776 | |
| (719) 792-9431 | |
| Not Available |
| Full Name | Green Thumb Initiative |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 613 Main St Ste 10, Canon City, Colorado |
| Authorized Official Name and Position | Brian Monahan (BUSINESS DIRECTOR) |
| Authorized Official Contact | 7197929431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Thumb Initiative 1012 Main St Canon City CO 81212-3465 Ph: (719) 792-9431 | Green Thumb Initiative 613 Main St Ste 10 Canon City CO 81212-3776 Ph: (719) 792-9431 |
| NPI Number | 1952163388 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 07/21/2024 |
| Certification Date | 07/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952163388 | NPI | - | NPPES |
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