NPI 1891628103 · live from the CMS NPI Registry
Grandular Health Services LLC
Community/Behavioral Health in Gibbsboro, NJ. National Provider Identifier 1891628103, active.
NPI record
| NPI | 1891628103 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 146 S Lakeview Dr Ste 202, Gibbsboro, NJ 08026 |
| Practice phone | 609-669-0097 |
| Enumerated | June 5, 2026 |
| Last updated | June 5, 2026 |
| Authorized official | Deborah Dickerson, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | — |
| Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | — |
| Assisted Living Facility, Assisted Living, Behavioral Disturbances | 3104A0630X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Psychiatric Hospital | 283Q00000X | — |
| Assisted Living Facility, Assisted Living, Mental Illness | 3104A0625X | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — |
| Early Intervention Provider Agency | 252Y00000X | — |
| General Acute Care Hospital, Women | 282NW0100X | — |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| General Acute Care Hospital, Children | 282NC2000X | — |
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | — |
| Clinic/Center, Urgent Care | 261QU0200X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.