Provider Demographics
NPI:1093578544
Name:INNOVATIVE SOLUTIONS 4 U INCORPORATED
Entity Type:Organization
Organization Name:INNOVATIVE SOLUTIONS 4 U INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-878-6626
Mailing Address - Street 1:12813 OLD FORT RD STE 104
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2876
Mailing Address - Country:US
Mailing Address - Phone:301-250-4116
Mailing Address - Fax:
Practice Address - Street 1:12813 OLD FORT RD STE 104
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-2876
Practice Address - Country:US
Practice Address - Phone:301-250-4116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health