Whalio Doctors

NPI 1831762228

4th and Grove LLC

Organisation Mental Health Counselor Glassboro, NJ

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
Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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.