Provider Demographics
NPI:1467057414
Name:INU FOUNNDATION
Entity Type:Organization
Organization Name:INU FOUNNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CPLC,CAMS
Authorized Official - Phone:954-696-8398
Mailing Address - Street 1:PO BOX 801
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33302-0801
Mailing Address - Country:US
Mailing Address - Phone:954-696-8398
Mailing Address - Fax:
Practice Address - Street 1:4861 N DIXIE HWY STE 206
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3941
Practice Address - Country:US
Practice Address - Phone:954-696-8398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty