Organization
GRANDULAR HEALTH SERVICES LLC
Active
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
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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
282NC2000X
Children's Hospital
—
—
282NW0100X
Women's Hospital
—
—
283Q00000X
Psychiatric Hospital
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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