| NPI | 1831762228 |
|---|---|
| Doing Business As | 4TH AND GROVE COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | ROSANA GILLES-LAMONTAGNE Owner 856-441-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |