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Organization
GRANDULAR HEALTH SERVICES LLC
Active
Organization
GRANDULAR HEALTH SERVICES LLC
Active
Other names
Grandular Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH DICKERSON (CEO)
(609) 669-0097
Entity
Organization
Contact information
Practice address
146 S LAKEVIEW DR STE 202, GIBBSBORO, NJ 08026-1018
(609) 669-0097
(856) 875-9608
Mailing address
542 BERLIN CROSS KEYS RD STE 3270, SICKLERVILLE, NJ 08081-4367
(609) 669-0097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
08/09/2024
Last updated
07/06/2026
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