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Organization

INNOVATIVE MIND SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADEBUKOLA REBECCA ADEBAYO (CEO)
(862) 300-9408
Entity
Organization

Contact information

Practice address
63 HIGH MEADOWS DR, SICKLERVILLE, NJ 08081-1981
(862) 300-9408
Mailing address
63 HIGH MEADOWS DR, SICKLERVILLE, NJ 08081-1981
(862) 300-9408

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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