Provider Demographics
NPI:1982152005
Name:INCLUSION FAMILY SERVICES
Entity Type:Organization
Organization Name:INCLUSION FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DADRENE
Authorized Official - Middle Name:ANETTA
Authorized Official - Last Name:HINE-ST.HILAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LCSW-R
Authorized Official - Phone:516-312-9400
Mailing Address - Street 1:4 TANGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-1323
Mailing Address - Country:US
Mailing Address - Phone:516-312-9400
Mailing Address - Fax:
Practice Address - Street 1:4 TANGLEWOOD LN
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-1323
Practice Address - Country:US
Practice Address - Phone:516-312-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-18
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management