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Organization
GRANDULAR HEALTH SERVICES LLC
Active
Organization
GRANDULAR HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
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
146 S LAKEVIEW DR STE 202, GIBBSBORO, NJ 08026-1018
(609) 669-0097
(856) 875-9608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/30/2026
Last updated
05/05/2026
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