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
05/07/2026
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