NPI 1831762228
4th and Grove LLC
Practice location
- Address
- 480 Defrancesco Cir, Glassboro, NJ 08028-4906
- Phone
- (856) 441-5216
- Mailing address
- PO Box 752, Glassboro, NJ 08028-0752
Authorised official
- Name
- Rosana Gilles-Lamontagne
- Title
- Owner
- Phone
- (856) 441-5216
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1831762228
- Entity type
- Organization
- NPI issued
- 22 Jul 2021
- Record last updated
- 22 Jul 2021
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.