Organization
INNOVATIVE MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARBJOT SINGH AJIT M.D. (BILLING SERVICES)
(440) 428-0055
Entity
Organization
Contact information
Practice address
65 N LAKE ST, SUITE 100, MADISON, OH 44057-3113
(440) 428-0055
(440) 428-0084
Mailing address
65 N LAKE ST, SUITE 100, MADISON, OH 44057-3113
(440) 428-0055
(440) 428-0084
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35087896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3147302
—
OH
Enumeration date
04/27/2009
Last updated
06/21/2011
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