Justen Gross's National Provider Identifier (NPI) Details
Justen Gross, LCSW
NPI: 1730457854
Enumeration Date: 2011-12-03
Last updated: 2012-10-05
Sole Proprietor: YES
Status: active
Postal Address: 160 WATERSFIELD RD, LELAND, NC
Phone: 216-403-4177
Primary Practice Address: 160 WATERSFIELD RD, LELAND, NC
Practice's phone: 216-403-4177