Organization · Type 2 NPI

4th and Grove LLC

Mental Health Counselor · Glassboro, NJ

NPI number 1831762228 Active

Practice location

480 Defrancesco Cir
Glassboro, NJ 08028-4906

Mailing address

PO Box 752
Glassboro, NJ 08028-0752

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831762228

4th and Grove LLC's National Provider Identifier is 1831762228, issued on Jul 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glassboro, NJ. The record was last updated on Jul 22, 2021.