Organization
DESTINED 2 GROW LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE SHEGBONE MSED (SPECIAL EDUCATOR)
(732) 710-1804
Entity
Organization
Contact information
Practice address
1 RALSTON WAY, MONROE TOWNSHIP, NJ 08831-2901
(732) 710-1804
Mailing address
1 RALSTON WAY, MONROE TOWNSHIP, NJ 08831-2901
(732) 710-1804
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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